Preoperative transcervical analgesia for laparoscopic sterilization with Filshie clips. A double blind randomized trial.
OBJECTIVE
To evaluate the use of preoperative transcervical analgesia for reducing postoperative pain from laparoscopic sterilization with Filshie clips.


METHODS
A double blind, randomized, placebo-controlled trial.


METHODS
Gynecologic day-care clinic of Vejle Hospital, Vejle, Denmark.


METHODS
Seventy-eight healthy women were attending the public hospital requesting sterilization.


METHODS
Participants received bupivacaine 0.25% 20 mL or placebo normal saline 20 mL injected into the uterus, though the fallopian tubes and into the pelvis before tubal occlusion with Filshie clips.


METHODS
Post-operative visual analog pain score and request for analgesia were recorded.


RESULTS
At 30 min after clip application there was a non-significant reduction in pain-score on VAS. However, at 1, 2, 3 and 4 h median pain score on VAS was similar in both groups. Patients request for postoperative analgesia was similar in the two groups.


CONCLUSIONS
Preoperative transcervical perfusion of the uterus, fallopian tubes and into the pelvis did not reduce postoperative pain or request for analgesics after laparoscopic sterilization with Filshie clips.
Schytte
Tine
T
Department of Obstetrics and Gynecology, Vejle Hospital, Vejle, Denmark. tine.schytte@dadlnet.dk
Soerensen
Jens Aage
JA
Hauge
Benedicte
B
Andersen
Bent
B
D000759:Adjuvants, Anesthesia / Q000627:therapeutic use; D000328:Adult; D000777:Anesthetics / Q000627:therapeutic use*; D002045:Bupivacaine / Q000627:therapeutic use*; D003627:Data Interpretation, Statistical; D004311:Double-Blind Method; D005187:Fallopian Tubes / Q000187:drug effects; D005260:Female; D006024:Glycopyrrolate / Q000627:therapeutic use; D006801:Humans; D010535:Laparoscopy; D010147:Pain Measurement / Q000379:methods; D010149:Postoperative Pain / Q000188:drug therapy / Q000517:prevention & control*; D011229:Preanesthetic Medication; D015742:Propofol / Q000627:therapeutic use; D018709:Statistics, Nonparametric; D013246:Sterilization, Tubal / Q000295:instrumentation / Q000379:methods*; D014599:Uterus / Q000187:drug effects
D000759:Adjuvants, Anesthesia; D000777:Anesthetics; D006024:Glycopyrrolate; D002045:Bupivacaine; D015742:Propofol