post laparoscopic pain control using local anesthesia through laparoscopic port sites
نویسندگان
چکیده
background: severe abdominal pain is not common after laparoscopic surgeries, but acute or chronic pain after operation is considerable in some patients. post-operative pain control after laparoscopic surgeries, is conventionally achieved using analgesics such as non-steroidal anti-inflammatory drugs (nsaids) and narcotics, but their administration has a lot of side effects. this study compares the efficacy and side effects of local anesthetic drugs versus conventional analgesics in post-operative pain control. materials and methods: this prospective investigation was conducted into two groups of patients (n=93). group 1, as control group, was given conventional analgesics such as narcotics and nsaids. in investigational group, at the end of laparoscopic surgery, prior to port withdrawal, a local anesthetic mixture, a short acting (lidocaine 2%) plus a long acting (bupivacaine 0.5%) is instilled through the port lumen between the abdominal wall layers. the efficacy of both types of medications was compared to their efficacy and side effects. results: 85% of the control group, received 5 to 20 ml morphine for pain control while the others were controlled with trans-rectal nsaids. in the treatment group, the pain of 65% of the patients was controlled only by local anesthetic drugs, 30% required nsaids and the other 5% required narcotics administration for pain control. conclusion: the administration of local anesthetic drugs after laparoscopic surgery is an effective method for pain control with a low complications rate and side effects of narcotics.
منابع مشابه
Post laparoscopic pain control using local anesthesia through laparoscopic ports
Introduction: Although patients do not experience sever pain after laparoscopic surgery, most of them experience acute or chronic pain afterward. While conventional pain killers including NSAID and narcotics in laparoscopic surgery have specific side effects, their application is inevitable. This study compares the efficacy of local anesthetic drugs and conventional pain killers in post-operati...
متن کاملpost laparoscopic pain control using local anesthesia through laparoscopic ports
introduction: although patients do not experience sever pain after laparoscopic surgery, most of them experience acute or chronic pain afterward. while conventional pain killers including nsaid and narcotics in laparoscopic surgery have specific side effects, their application is inevitable. this study compares the efficacy of local anesthetic drugs and conventional pain killers in post-operati...
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عنوان ژورنال:
novelty in biomedicineجلد ۲، شماره ۳، صفحات ۱۰۲-۱۰۶
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