Objective: To evaluate the use of preoperative transcervical analgesia for reducing postoperative pain from laparoscopic sterilization with Filshie clips.
Design: A double blind, randomized, placebo-controlled trial.
Setting: Gynecologic day-care clinic of Vejle Hospital, Vejle, Denmark.
Sample: Seventy-eight healthy women were attending the public hospital requesting sterilization.
Methods: Participants received bupivacaine 0.25% 20 mL or placebo normal saline 20 mL injected into the uterus, though the fallopian tubes and into the pelvis before tubal occlusion with Filshie clips.
Main Outcome Measures: Post-operative visual analog pain score and request for analgesia were recorded.
Results: At 30 min after clip application there was a non-significant reduction in pain-score on VAS. However, at 1, 2, 3 and 4 h median pain score on VAS was similar in both groups. Patients request for postoperative analgesia was similar in the two groups.
Conclusions: Preoperative transcervical perfusion of the uterus, fallopian tubes and into the pelvis did not reduce postoperative pain or request for analgesics after laparoscopic sterilization with Filshie clips.
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| http://dx.doi.org/10.1034/j.1600-0412.2003.820110.x | DOI Listing |
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