Analgesic efficacy of ropivacaine wound infusion after laparoscopic colorectal surgery.
10.4174/astr.2016.91.4.202
- Author:
Bo Young OH
1
;
Yoon Ah PARK
;
Hye Young KOO
;
Seong Hyeon YUN
;
Hee Cheol KIM
;
Woo Yong LEE
;
Juhee CHO
;
Woo Seog SIM
;
Yong Beom CHO
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gscyb@skku.edu
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Postoperative pain;
Local anesthetics;
Ropivacaine
- MeSH:
Analgesia, Patient-Controlled;
Anesthetics, Local;
Colorectal Neoplasms;
Colorectal Surgery*;
Fentanyl;
Humans;
Laparoscopy;
Nausea;
Pain, Postoperative;
Passive Cutaneous Anaphylaxis;
Prospective Studies;
Treatment Outcome;
Vomiting;
Wounds and Injuries*
- From:Annals of Surgical Treatment and Research
2016;91(4):202-206
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Local anesthetic wound infusion has been previously investigated in postoperative pain management. However, a limited number of studies have evaluated its use in laparoscopic colorectal surgery. This study aims to evaluate whether ropivacaine wound infusion is effective for postoperative pain management after laparoscopic surgery in patients with colorectal cancer. METHODS: This prospective study included 184 patients who underwent laparoscopic surgery for colorectal cancer between July 2012 and June 2013. The patients were grouped as the combined group (intravenous patient-controlled analgesia [IV-PCA] plus continuous wound infusion with ropivacaine, n = 92) and the PCA group (IV-PCA only, n = 92). Efficacy and safety were assessed in terms of numeric rating scale (NRS) pain score, opioid consumption, postoperative recovery, and complications. RESULTS: The total quantity of PCA fentanyl was significantly less in the combined group than in the PCA group (P < 0.001). The NRS score of the combined group was not higher than in the PCA group, despite less opioid consumption. There were no differences between groups for postoperative recovery and most complications, including wound complications. However, the rate of nausea and vomiting was significantly lower in the combined group (P = 0.022). CONCLUSION: Ropivacaine wound infusion significantly reduced postoperative opioid requirements and the rate of nausea/vomiting. This study showed clinical efficacy of ropivacaine wound infusion for postoperative pain control in colorectal cancer patients undergoing laparoscopic surgery.
