A comparison of bupivacaine lavage and diclofenac suppository effects on post-operative pain of laparascopic transabdominal pre-peritoneal herniorrhaphy : a randomized clinical trial study

OBJECTIVES: Injection of a topical anaesthetic has been proved to be helpful with reducing pain after laparoscopic herniorrhaphy. We aimed to assess the effect of bupivacaine lavage on postoperative pain and compare it with diclofenac suppository. In this randomized clinical trial, 60 patients-scheduled for laparoscopic herniorrhaphy-were enrolled and randomized into three groups of 20 each, including diclofenac suppository, bupivacaine lavage, and normal saline as a placebo.The patients were investigated for postoperative pain scores, vomiting, nausea, morphine request, and duration of hospitalization.

RESULTS: In the bupivacaine group, pain levels in recovery room, 4, 8 and 12 h after surgery, were significantly lower than diclofenac group; at time points of 16, 20 and 24 h after surgery, difference between two groups was not significant. Regarding vomiting and nausea, at time points of 1 and 3 h after surgery, results show no significant difference between the groups. Incident of infection, 1 h and 1 week after the surgery, was not significantly different among the groups. Duration of hospitalization in the bupivacaine group was much lower than the diclofenac group. Based on our results, use of the bupivacaine lavage can reduce postoperative pain in patients undergoing laparoscopic herniorrhaphy. Trial Registration Randomized clinical trial IRCT20180522039782N2; date of registration:14/10/2018.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

BMC research notes - 13(2020), 1 vom: 01. Okt., Seite 463

Sprache:

Englisch

Beteiligte Personen:

Negahi, Alireza [VerfasserIn]
Mousavi, Seyed Hamzeh [VerfasserIn]
Abbasnezhad, Vahid [VerfasserIn]
Jahanshahi, Fatemeh [VerfasserIn]

Links:

Volltext

Themen:

İnguinal hernia
144O8QL0L1
Anesthetics, Local
Bupivacaine
Bupivacaine lavage
Diclofenac
Diclofenac suppository
Herniorrhaphy
Journal Article
Laparascopic
Postoperative pain
Randomized Controlled Trial
Y8335394RO

Anmerkungen:

Date Completed 14.05.2021

Date Revised 14.05.2021

published: Electronic

IRCT: IRCT20180522039782N2

Citation Status MEDLINE

doi:

10.1186/s13104-020-05297-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315692790