Pain, Surgery
Conditions
Keywords
Digestive System
Brief summary
Known to reduce analgesics and length of hospitalization in conventional surgery, laparoscopy is characterized by frequent post-operative pain and can decrease the patient's quality of immediate postoperative life and sometimes the results of decision ambulatory care. In order to reduce these postoperative pain, various methods have been evaluated in numerous studies to determine their analgesic role. As part of abdominal surgery, local anesthetics (Naropin (Ropivacaine)) are generally administered in the end of surgery to reduce postoperative pain and promote recovery of the patient. In addition, it is also possible to instill the anesthetic directly into the abdominal cavity reducing pain transmitted by nociceptor viscera. In recent years, new methods have been proposed such as lung recruitment maneuvers and the instillation of saline solution to reduce postoperative pain. However, no recommendation is on the use of intraperitoneal saline under the management of postoperative pain after laparoscopic cholecystectomy in ambulatory care.
Interventions
Sodium chloride administration
DRUGRopivacaine administration
Ropivacaine administration
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patient aged 18 to 80 years * Patients with biliary pathology requiring cholecystectomy * Patients with signed consent * Patient eligible to outpatient care * No allergy to Naropin * Support by laparoscopy * Patients affiliated to a social security s
Exclusion criteria
* Contraindications for laparoscopy * Contraindications to outpatient surgery * Patients with an allergy to paracetamol or tramadol * Patient with an addiction to painkillers and / or alcohol * Patient with a disease causing chronic pain * Patient using analgesics bearing 1 , 2 or 3 chronically * Pregnant or breastfeeding women , of reproductive age without effective contraception * Minor Patient, * Contraindication to surgery, * Physical or psychological state does not allow the patient's participation in the study ,
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain measured by visual analog scale (VAS) | between first postoperative day and 6th postoperative day |
Secondary
| Measure | Time frame |
|---|---|
| global pain measured by BPI (Brief Pain Inventory) scale | 30th postoperative day |
| analgesics use | 30th postoperative day |
| global morbidity | 30th postoperative day |
| specific complications for each treatment | 30th postoperative day |
Countries
France
Outcome results
None listed