scholarly journals Does wound infi ltration of tramadol reduce postoperative pain in laparoscopic or open herniorrhaphy?

2012 ◽  
Vol 2 (2) ◽  
pp. 127-131
Author(s):  
Remziye Sıvacı ◽  
Erol Eroglu ◽  
Lutfi Yavuz ◽  
Fusun Eroglu ◽  
Yaşar Sıvacı
Keyword(s):  
Postoperative Pain ◽  
Spinal Anesthesia ◽  
Wound Closure ◽  
Saline Solution ◽  
Laparoscopic Approach ◽  
Analog Scale ◽  
Inguinal Herniorrhaphy ◽  
Vas Scores ◽  
Laparoscopic Inguinal Herniorrhaphy ◽  
Open Inguinal Herniorrhaphy

Introduction: The laparoscopic approach may be associated with more postoperative pain initially. The aim of this study was to evaluate the effects of administered tramadol at wound closure on postoperative painand analgesic requirements under spinal anesthesia in laparoscopic inguinal herniorrhaphy (LH) or tension free open inguinal herniorrhaphy (TFOH).Methods: Twenty patients were randomly divided into two groups (n= 10 in each) as LH or TFOH. Patients received infiltration of 200 mg tramadol with 40 mL of 0.9% saline solution at wound closure procedure. Postoperative pain was assessed with a Visual Analog Scale (VAS) at 3, 6, 12, and 24 hours postoperatively. Additional requirements of tramadol for postoperative pain releif were registered.Results: VAS scores at postoperative 12 and 24 hours were signifi cantly higher according to 3rd hour VAS scores in both groups. The VAS scores at 12 hours after operation signifi cantly lower in LH group than inTFOH group (1.5 ± 0.97 vs 5.1 ± 0.99). Additional requirements of tramadol for postoperative pain releif were significantly lower in LH group.Conclusion: We conclude that wound infi ltration of 200 mg tramadol reduce postoperative pain in LH group.

Improved immediate postoperative pain following laparoscopic inguinal herniorrhaphy using self-adhering mesh

2017 ◽  
Vol 32 (3) ◽  
pp. 1160-1164 ◽  
Author(s):  
Daniel G. Davila ◽  
Melissa C. Helm ◽  
Irene S. Pourladian ◽  
Matthew J. Frelich ◽  
Andrew S. Kastenmeier ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Inguinal Herniorrhaphy ◽  
Laparoscopic Inguinal Herniorrhaphy

scholarly journals Effect of IV Infusion of Magnesium Sulfate on Postoperative Pain after Spinal Anesthesia: A Prospective Randomized Trial

2021 ◽  
Author(s):  
Shubhi Singhal ◽  
Devang Bharti ◽  
Sangeeta Yadav ◽  
Nitin Hayaran
Keyword(s):  
Postoperative Pain ◽  
Magnesium Sulfate ◽  
Spinal Anesthesia ◽  
Lower Limb ◽  
Controlled Study ◽  
Control Group ◽  
Analgesic Requirement ◽  
Group I ◽  
Significant Difference ◽  
Vas Scores

Background: The current study attempts to evaluate the effect of intravenous (IV) infusion of magnesium sulfate during spinal anesthesia on postoperative pain and postoperative analgesic requirements in lower limb surgeries. Methods: In this double blind, randomized controlled study, 60 patients undergoing elective lower limb surgeries, were selected and randomly divided into two groups. Group I received isotonic saline and group II was administered magnesium sulfate 50 mg Kg-1 IV for 15 min and then 15 mg Kg-1 h-1 by continuous IV infusion till the end of surgery or 2 hours, whichever was earlier. Ramsay sedation scores, VAS scores for pain, time of first administration of rescue analgesic and total analgesic requirement were noted in both the groups. Results: Statistically significant difference was observed in the VAS score between the two groups at 1st, 2nd, 3rd, 6th, 9th and 12th hour intervals; with VAS scores being lower in the magnesium group (p<0.05). The mean time of first rescue analgesic requirement in control group was 144.00 mins, while in magnesium group was 246.00 mins (p<0.05). The total rescue analgesic requirement was found to be 251.67 mg and 181.67 mg at the end of 24 hours, in control and magnesium groups, respectively (p<0.05). Conclusion: This study demonstrates statistically significant lowering of postoperative VAS scores, delayed need of postoperative analgesia and reduced total postoperative analgesic requirement in patients receiving intraoperative IV magnesium sulfate compared to the control group. Magnesium sulfate did not cause sedation or any other significant adverse effect in the doses used in the study.

Laparoscopic Inguinal Hernia Repair

2006 ◽  
Vol 72 (3) ◽  
pp. 197-206 ◽  
Author(s):  
Robert J. Fitzgibbons ◽  
Varun Puri
Keyword(s):  
Developmental Stages ◽  
State Of The Art ◽  
Laparoscopic Approach ◽  
Laparoscopic Herniorrhaphy ◽  
Inguinal Herniorrhaphy ◽  
Laparoscopic Operation ◽  
Therapeutic Laparoscopy ◽  
Current State ◽  
Laparoscopic Inguinal Herniorrhaphy ◽  
Laparoscopic Techniques

As a consequence of the development of laparoscopic cholecystectomy in the late 1980s, diagnostic and therapeutic laparoscopy has now become an integral part of the average general surgeon's practice. Many conventional operations have been successfully adapted for the laparoscopic approach. A laparoscopic operation is unquestionably the surgical procedure of choice for gastroesophageal reflux disease and removal of the gallbladder, spleen, or adrenal gland unless specific contraindications are present. However, the value of laparoscopic techniques for other operations remains controversial within the surgical community. Laparoscopic inguinal herniorrhaphy (LIH) is a case in point. Frequent reanalysis of the controversial procedures such as laparoscopic herniorrhaphy is especially important because videoscopic operations remain in their developmental stages and thus continue to evolve. With this in mind, the purpose of this review was to examine the current state of the art of laparoscopic inguinal herniorrhaphy in relationship to its conventional counterparts.

Efficacy of Curcuminoids in managing postoperative pain after total laparoscopic hysterectomy: A randomized controlled, open-label trial.

2022 ◽  
Author(s):  
Chai Ariyasriwatana ◽  
Natacha Phoolcharoen ◽  
Shina Oranratanaphan ◽  
Pongkasem Worasethsin
Keyword(s):  
Postoperative Pain ◽  
Visual Analog Scale ◽  
Curcuma Longa ◽  
Laparoscopic Hysterectomy ◽  
Control Group ◽  
Analog Scale ◽  
Open Label ◽  
Vas Scores ◽  
The Mean ◽  
Experimental Group

Background and aims: Curcuminoids, which are substances extracted from turmeric (Curcuma longa), have anti-inflammatory and analgesic effects and a good safety profile. This study aimed to evaluate the clinical efficacy of curcuminoid extracts on reducing pain among patients who underwent laparoscopic hysterectomy. Experimental procedure: From November 2016 to December 2017, 98 participants were included in this clinical trial, and they were randomly assigned to the experimental and control arms according to blocks of four. The intraoperative findings did not significantly differ between the two groups. The experimental group received one tablet of curcuminoid extract 250 mg four times a day on postoperative days 1–3. Pain was evaluated at 24 and 72 h postoperatively using a 10-point visual analog scale (VAS). Results and conclusion: The mean visual analog scale (VAS) scores at 24 h after surgery were 4.9 in the experimental group and 4.3 in the control group. Hence, the results did not significantly differ (p = 0.129). The mean VAS scores at 72 h after surgery were 1.8 in the experimental group and 2.8 in the control group (p = 0.001). The side effects in both groups were similar. Hence, curcuminoids can be an effective supplement for reducing pain after laparoscopic hysterectomy. The conclusion from this study is, that curcuminoids may be an effective supplement to reduce postoperative pain following laparoscopic hysterectomy.

scholarly journals The Effect of Intravenous Magnesium Sulfate Infusion on Sensory Spinal Block and Postoperative Pain Score in Abdominal Hysterectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Fatih Kahraman ◽  
Ahmet Eroglu
Keyword(s):  
Postoperative Pain ◽  
Spinal Anesthesia ◽  
Magnesium Sulphate ◽  
Abdominal Hysterectomy ◽  
Control Group ◽  
Spinal Block ◽  
Double Blind ◽  
Arterial Blood ◽  
Vas Scores ◽  
And Control

Aim. The aim of this study was to investigate the effect of i.v. infusion of magnesium sulphate during spinal anesthesia on duration of spinal block and postoperative pain.Methods. Forty ASA physical status I and status II, aged between 18 and 65, female patients undergoing abdominal hysterectomy under spinal anesthesia were enrolled in this study. Patients in the magnesium group (Group M,n= 20) received magnesium sulphate 65 mg kg−1infusion in 250 mL 5% dextrose at 3.5 mL/min rate, and control group (Group C,n= 20) received at the same volume of saline during operation in a double-blind randomized manner. Duration of sensory and motor block, systolic, diastolic, and mean arterial blood pressures, heart rates, pain scores (VAS values), and side effects were recorded for each patient. Blood and CSF samples were taken for analysis of magnesium concentrations.Results. Regression of sensorial block was longer in Group M when compared with that in Group C (175 ± 39 versus 136 ± 32 min) (P< 0.01). The VAS scores were lower in Group M than those in Group C at the 2 time points postoperatively (P< 0.01).Conclusion. 65 mg kg−1of magnesium sulphate i.v. infusion under spinal anesthesia prolongs spinal sensorial block duration and decreases pain VAS scores without complication in patients undergoing abdominal hysterectomy.

Acetazolamide reduces postoperative pain following laparoscopic inguinal herniorrhaphy

2015 ◽  
Vol 30 (7) ◽  
pp. 2685-2689
Author(s):  
Irene Pourladian ◽  
Alex W. Lois ◽  
Matthew J. Frelich ◽  
Harvey J. Woehlck ◽  
Michelle Weber ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Inguinal Herniorrhaphy ◽  
Laparoscopic Inguinal Herniorrhaphy
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