Combined field block and i.p. instillation of ropivacaine for pain management after laparoscopic sterilization

Department of Anaesthesiology, H:S Hvidovre University Hospital, Denmark.
BJA British Journal of Anaesthesia (Impact Factor: 4.85). 04/1999; 82(4):586-90. DOI: 10.1093/bja/82.4.586
Source: PubMed


We have studied the effect of ropivacaine for combined port site and mesosalpinx infiltration, and peritoneal instillation on pain, nausea and vomiting after laparoscopic sterilization, in a double-blind, placebo-controlled study in 80 patients. The total dose of ropivacaine was 285 mg. All patients received intra- and postoperative NSAID in fixed doses. Abdominal and shoulder pain, nausea and vomiting were recorded during the first 8 h after operation and in a diary for 3 days. In the ropivacaine group, abdominal pain scores were lower during the first 4 h (P < 0.00001), additional use of morphine was less (P < 0.001) and fewer patients had nausea or vomiting during the first 72 h (five vs 14; P < 0.05). There were no signs of local anaesthetic toxicity.

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Available from: Håkan Reventlid, Jan 21, 2014
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    • "In order to reduce postoperative pain related to TL by laparoscopy many therapeutic schemes have been suggested. Ropivacaine use in laparoscopic trocar ports and in mesosalpinx, associated with anti-inflammatory drugs, reduced postoperative pain in TL with the Filshie clips [2]. Similarly, bupivacaine alone [3] or associated with meperidine [4], as well as associated with topical lidocaine [5] on the Fallopian tube in TL with the Filshie clips, reduced postoperative pain compared to placebo. "
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