BACKGROUND There is a need for investigating the analgesic method as part of early recovery after surgery tailored for laparoscopic colorectal cancer (LCRC) surgery. In this randomized trial, we aimed to investigate the analgesic efficacy of an inverse 'v' shaped bilateral, subfascial ropivacaine continuous infusion in LCRC surgery. METHODS Forty two patients undergoing elective LCRC surgery ...

Editor—We thank Drs Banerjee and Saghal for their interest in our meta-analysis addressing the efficacy of perioperative pregabalin in acute postoperative pain. Our literature search produced only 11 valid randomized controlled trials meeting the criteria for analysis. We refrained from performing a subgroup analysis based on different types of surgery because the number of included studies wou...

BACKGROUND Local anesthetic infiltration has been used to manage postoperative pain in various surgeries. The present study was aimed to investigate the effect of skin infiltration with 0.5 % ropivacaine on postoperative pain in patients undergoing craniotomy. METHODS One hundred and six patients with ASA I/II scheduled to undergo elective craniotomy were enrolled during March to November in ...

Context Optimization and providing excellent quality of postoperative analgesia after total abdominal hysterectomy is a determinant factor of better clinical outcome, increases patient satisfaction, and allows early mobilization of the patient. Aims The aim of this study is to compare the postoperative analgesic efficacy of wound site infiltration (WSI) and ultrasound-guided transversus abdom...

background pain following laparoscopy could be due to different causes requiring effective postoperative analgesia. objectives in the present study, we evaluated the combined effect of intraperitoneal infiltration of bupivacaine-meperidine versus intravenous infusion of paracetamol on pain relief after diagnostic gynecologic laparoscopy. conclusions intraperitoneal infiltration of bupivacaine w...

Introduction: Retrosternal goitres require surgical removal due to compressive symptoms as well risk of malignancy. In a majority, the retrosternal part can be removed through neck incision, while 5-10% requiring sternotomy. An alternative sternotomy is thoracoscopy, which associated with reduced morbidity. Methods: The approach used resect goiters in our unit over period two years was evaluate...

Background & Aims: Post operative pain is cause of suffering in most patients and can cause a lot of problems. Analgesic effects of many narcotics have been widely studied. In this study, the effects of methadone and morphine on postoperative pain scale following thoracic surgery in opium addict patients were assessed. Methods: In this clinical trial and double blind study, sixty opium addict p...

Over a period of 5 years, we analyzed our data on outcome, feasibility, and safety of Minimal Access Surgery (MAS) in 211 children. The outcome was compared objectively with age matched controls with similar diagnosis undergoing open surgery over the same period. There was no significant difference between mortality, morbidity, re-exploration rates and analgesic requirement between MAS and open...

Fifty-five patients were followed up after day surgery for breast lumpectomy. It was found that local infiltration with bupivacaine significantly decreased analgesic requirement in recovery. Almost half of the patients could not be contacted during the 24 hour post-operative follow-up by telephone. 7.1% complained of severe pain despite oral analgesics. 14.3% of patients had queries regarding w...