지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 455 - 461 (7page)
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초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Behnia-Willison F / 2012 / Single incision laparoscopic surgery (SILS) in gynaecology:feasibility and operative outcomes / Aust N Z J Obstet Gynaecol 52 : 366 ~ 370
Buck L / 2004 / Intraperitoneal bupivacaine for the reduction of postoperative pain following operative laparoscop
Escobar PF / 2010 / Laparoendoscopic single-site (LESS) surgery in patients with benign adnexal disease / Fertil Steril 93 : 2074.e7-10 ~
Fader AN / 2009 / Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report / Gynecol Oncol 114 : 157 ~ 161
Fader AN / 2010 / Laparoendoscopic single-site surgery (LESS) in gynecology: a multi-institutional evaluation / Am J Obstet Gynecol 203 : 501.e1-6 ~
Buck L / 2004 / Intraperitoneal bupivacaine for the reduction of postoperative pain following operative laparoscop
Escobar PF / 2010 / Laparoendoscopic single-site (LESS) surgery in patients with benign adnexal disease / Fertil Steril 93 : 2074.e7-10 ~
Fader AN / 2009 / Laparoendoscopic single-site surgery (LESS) in gynecologic oncology: technique and initial report / Gynecol Oncol 114 : 157 ~ 161
Fader AN / 2010 / Laparoendoscopic single-site surgery (LESS) in gynecology: a multi-institutional evaluation / Am J Obstet Gynecol 203 : 501.e1-6 ~
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