Port site infiltration of local anesthetic after laparoendoscopic single site surgery for benign adnexal disease.
10.5468/ogs.2017.60.5.455
- Author:
Jung Eun KIM
1
;
Seung Hyuk SHIM
;
Meari DONG
;
Hyojin LEE
;
Han Sung HWANG
;
Han Sung KWON
;
Sun Joo LEE
;
Ji Young LEE
;
In Sook SOHN
;
Soo Nyung KIM
;
Soon Beom KANG
Author Information
1. Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea. 20130131@kuh.ac.kr
- Publication Type:Original Article
- Keywords:
Local anesthesia;
Laparoscopy;
Pain;
Minimally invasive surgical procedures
- MeSH:
Adnexal Diseases*;
Anesthesia, Local;
Bupivacaine;
Cohort Studies;
Female;
Humans;
Laparoscopy;
Minimally Invasive Surgical Procedures;
Pain, Postoperative;
Prospective Studies;
Surgical Instruments;
Visual Analog Scale
- From:Obstetrics & Gynecology Science
2017;60(5):455-461
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To determine whether local bupivacaine injection into the incision site after gynecologic laparoendoscopic single site surgery (LESS) improves postoperative pain. METHODS: This prospective cohort study included consecutive 158 patients who had LESS for benign adnexal disease from March 2013 to December 2015. Chronologically, 82 patients (March 2013 to August 2014) received no bupivacaine (group 1) and 76 (August 2014 to December 2015) received a bupivacaine block (group 2). For group 2, 10 mL 0.25% bupivacaine was injected into the 20 mm-incision site through all preperitoneal layers after LESS completion. Primary outcome is postoperative pain score using the visual analog scale (VAS). RESULTS: There was no difference in clinicopathological characteristics between the groups. Operating time (expressed as median [range], 92 [55–222] vs. 100 [50–185] minutes, P=0.137) and estimated blood loss (50 [30–1,500] vs. 125 [30–1,000] mL, P=0.482) were similar between the groups. Post-surgical VAS pain scores after 3 hours (3.5 [2–6] vs. 3.5 [2–5], P=0.478), 6 to 8 hours (3.5 [2–6] vs. 3 [1–8], P=0.478), and 16 to 24 hours (3 [2–4] vs. 3 [1–7], P=0.664) did not differ between groups. CONCLUSION: Bupivacaine injection into the trocar site did not improve postoperative pain after LESS. Randomized trials are needed to evaluate the benefits of local bupivacaine anesthetic for postoperative pain reduction.
