Dreher, J K

Nemeth, D

Limb, R

2000-11

The aim of this study was to examine the effectiveness of ropivacaine administered by a simple intraperitoneal technique in relieving pain following laparoscopic application of Filshie clips. Nineteen patients were randomised to receive either ropivacaine (200 mg) or normal saline through the umbilical port following clip application. Using a visual analogue scale women receiving ropivacaine had significantly lower pain scores 2 hours post operatively (0.97 vs 2.03 p < 0.05). The mean total postoperative fentanyl use was also significantly lower on the ropivacaine group (40 microg vs 104 microg p < 0.02). Only 10% (1/10) of the women in the ropivacaine group complained of nausea compared with 44% (4/9) in the control group. Furthermore, 80% (8/10) of women in the ropivacaine group were either very or totally satisfied with their pain relief. Only 56% (5/9) of the women in the control group were very or totally satisfied with their pain relief. Ropivacaine administered by a simple intraperitoneal technique following laparoscopic sterilisation significantly reduces postoperative pain and parenteral analgesic requirements. It would be reasonable to consider this method as standard practice following laparoscopic tubal ligation.

Royal Darwin Hospital, Australia..

The Australian & New Zealand journal of obstetrics & gynaecology 2000-11; 40(4): 434-7

0004-8666

https://pubmed.ncbi.nlm.nih.gov/11194431/?otool=iaurydwlib

https://hdl.handle.net/10137/6836

Adult

Ambulatory Surgical Procedures

Amides

Analgesics, Opioid

Anesthetics, Local

Double-Blind Method

Female

Fentanyl

Humans

Injections, Intraperitoneal

Instillation, Drug

Laparoscopy

Nausea

Pain Measurement

Pain, Postoperative

Patient Satisfaction

Sterilization, Tubal

Treatment Outcome

Pain relief following day case laparoscopic tubal ligation with intra-peritoneal ropivacaine: a randomised double blind control study.

Clinical Trial

Journal Article

Randomized Controlled Trial

Publication