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  • Title: Intraperitoneal ropivacaine and a gas drain: effects on postoperative pain in laparoscopic surgery.
    Author: Readman E, Maher PJ, Ugoni AM, Gordon S.
    Journal: J Am Assoc Gynecol Laparosc; 2004 Nov; 11(4):486-91. PubMed ID: 15701190.
    Abstract:
    STUDY OBJECTIVE: To assess the benefits of the combination of a gas drain and the instillation of local anesthetic on the incidence of pain after operative gynecologic laparoscopy. DESIGN: Randomized control trial (Canadian Task Force classification I). SETTING: Tertiary referral center. PATIENTS: One hundred twenty-eight patients undergoing operative gynecologic laparoscopy procedures lasting less than 105 minutes. INTERVENTIONS: Postoperatively, one group received a blocked drain and saline placed intraperitoneally; a second group was given a blocked drain and ropivacaine; a third group received a patent drain and saline; and a fourth was given a patent drain and ropivacaine. MEASUREMENTS AND MAIN RESULTS: Visual analogue pain scores (VAS) were measured at 1, 2, 4, and 12 hours and day 1 to day 7. Also measured was opioid consumption at 4 hours, nausea, and activity scores. We found a statistically significant improvement in pain scores at 2 and 4 hours in the group allocated to receive a patent drain and ropivacaine. CONCLUSION: We recommend the use of a gas drain and ropivacaine to reduce postoperative pain.
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