| Sub-title | |
| Authors | J Mamo R Pullicino J P C Mamo C Frendo Balzan |
| Abstract | Objectives: The use of local anaesthesia, namely bupivacaine intraoperative wound infiltration is compared with the use of non-steroidal antiinflammatory analgesics in patients undergoing gynaecological laparoscopy either for diagnostic or therapeutic purposes. Method: In one hundred and twenty women undergoing laparoscopy, either as a diagnostic investigation of infertility or during thereapeutic electrocautery of endometriosis, were randomly allocated to treatment by bupivicaine 0.5% wound infiltration or by diclofenac 100mg suppository. All patients were administered 1.5g paracetamol rectal suppository prior to starting the operative procedure. Patients undergoing laparoscopic adhesiolysis and patient undergoing aspiration of ovarian cyst were also included. The outcome was established by assessing the degree of patient satisfaction, the need for other forms of analgesia such as pethidine intramuscular injections, reduction in time spent in recovery room and rapid recovery to a state of post anaesthetic street fitness that is early discharge post-operatively. Results: In the bupivicaine group, there was a reduction in the need for post-operative intramuscular pethidine, a higher degree of patient satisfaction, a reduction in the time spent in the recovery room. The recovery time for the patient to be discharged from the ward was not dependent on medical factors in most cases, but there was an earlier recovery to a state of post-anaesthetic street fitness in the bupivicaine group. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 15 Issue 1-2/suppl. 2003 |
| Page | |
| Date | |
| Link to journal | |
| Key words | analgesia, bupivacaine, gynaecology, post operative pain, laparoscopy |