Efficacy of a continuous wound infiltration system for postoperative pain management in gynecologic patients who underwent single-port access laparoscopy for adnexal disease
نویسندگان
چکیده
Introduction Single-port access (SPA) laparoscopy requires only one incision, unlike conventional laparoscopy. However, its umbilical incision is larger than that of and can be vulnerable to postoperative pain. This study aimed evaluate whether simultaneous use a continuous wound infiltration (CWI) system intravenous patient-controlled analgesia (IV PCA) effectively decreases surgical site pain in patients who underwent SPA due gynecologic adnexal disease. Methods A total 371 received IV PCA or CWI was retrospectively reviewed (combined group [CWI + PCA, n = 159] vs. [IV only, 212]). To management, the numeric rating scale (NRS) score after surgery, amount fentanyl administered via additional killer consumption were collected. Results The NRS scores at 12 h (1.90 ± 1.11 2.70 1.08, p < 0.001) 24 (1.82 0.82 2.11 1.44, 0.026) surgery significantly lower combined group. smaller ( 0.001). quantity rescue analgesics 0.05). Conclusion Combined an effective management strategy patient for
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متن کامل
Single port access laparoscopic adnexal surgery.
STUDY OBJECTIVE To estimate the feasibility, safety, and operative outcomes for the management of adnexal masses by single port access (SPA) laparoscopy with a wound retractor and a surgical glove. DESIGN A prospective single-center study (Canadian Task Force classification III). SETTING University hospital. PATIENTS Twenty-four well selected patients with adnexal masses on imaging scans ...
متن کاملPort site infiltration of local anesthetic after laparoendoscopic single site surgery for benign adnexal disease
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 bupivac...
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چکیده ندارد.
15 صفحه اولEffect of laparoscopy by single-port endoscopic access in benign adnexal surgery: study protocol for a randomized controlled trial
BACKGROUND Laparoscopic surgery has become the preferred surgical approach due to a reduction in postoperative pain, better recovery, shorter hospitalization, and improved esthetic outcomes. Laparoscopic surgery with single-port laparoscopy (SPL) is a laparoscopic surgery technique that is based on making a single parietal incision using a single trocar specifically designed to allow introducti...
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ژورنال
عنوان ژورنال: Frontiers in Medicine
سال: 2023
ISSN: ['2296-858X']
DOI: https://doi.org/10.3389/fmed.2023.1199428