Postoperative Pain Score
Conditions
Keywords
Bupivacaine, Port site infiltration ,Postoperative pain ,Gynecologic laparoscopy
Brief summary
To comparison of efficacy of Bupivacaine for relief postoperative pain in women undergoing laparoscopic gynecologic surgery
Detailed description
Gynecologic laparoscopic procedures have become more common nowadays because of their benefits in less tissue trauma, less perioperative morbidity and shorter hospital stays compared with laparotomy. But postoperative pain still be the most concerning problems including discomfort at incision sites, Pain due to pneumoperitoneum stretching the intraabdominal cavity and dissection of the abdominal and pelvic viscera. Visceral pain is at maximal intensity during the first postoperative hours and is exacerbated by coughing, respiratory movements, and mobilization. Because the pain comprises of several factors, multimodal analgesic techniques are needed for effective postoperative analgesia and brought to this study to compare efficacy of Bupivacaine for pain relief postoperatively in women undergoing gynecologic laparoscopic surgery divided into 4 groups including preincision and preclosure Bupivacaine injection collated with placebo group. The result is measurement in postoperative pain score and amount of drug that using to reduce pain
Interventions
0.5 Bupivacaine hydrochloride were port site infiltration preincision and preclosure injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient who undergoing gynecologic laparoscopic surgery * Patient who agrees to participate in this study * Patient able to speak and understand Thai * Patient able to complete the questionnaire
Exclusion criteria
* Patient with history of allergy in any kind anesthetic drug * Patient who pregnant * Patient who sign for single port gynecologic laparoscopic surgery or NOTE surgery * Patient whom the surgery is withhold or canceled * Patient whom the surgery is converted to laparotomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain after surgery | 24-48 hours after surgery | Postoperative pain score in intervention and placebo groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Among of pethidine use | within 48 hours | Among of pethidine use to reduced postoperative pain |
| Duration of hospital stay | within 7 days | Duration of hospital stay after surgery |
Countries
Thailand