Publication: A randomized controlled trial of preperitoneal bupivacaine instillation for reducing pain following laparoscopic inguinal herniorrhaphy
Issued Date
2009-07-07
Resource Type
ISSN
15533506
Other identifier(s)
2-s2.0-67649622670
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Surgical Innovation. Vol.16, No.2 (2009), 117-123
Suggested Citation
Ronnarat Suvikapakornkul, Panisara Valaivarangkul, Patcharee Noiwan, Thanin Phansukphon A randomized controlled trial of preperitoneal bupivacaine instillation for reducing pain following laparoscopic inguinal herniorrhaphy. Surgical Innovation. Vol.16, No.2 (2009), 117-123. doi:10.1177/1553350609334128 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/28008
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
A randomized controlled trial of preperitoneal bupivacaine instillation for reducing pain following laparoscopic inguinal herniorrhaphy
Other Contributor(s)
Abstract
The efficacy of bupivacaine instillation into preperitoneal space following laparoscopic herniorrhaphy for postoperative pain reduction is still in controversy. A randomized controlled trial was conducted to determine the efficacy of bupivacaine instillation. The 40 patients, who had an inguinal hernia with no complication, unilateral or bilateral and recurrence or no recurrence after previous hernia repair, were randomly assigned to receive bupivacaine (n = 19) and normal saline (n = 21). The intervention or placebo was instilled into the preperitoneal space after total extraperitoneal laparoscopic herniorrhaphy. Pain intensity was assessed by using a visual analogue scale and verbal rating scale after the 1st, 2nd, 6th, 12th, and 24th hour postoperatively. For the bupivacaine and placebo group, mean pain scores were 3.5 versus 5.2 (P = 059), 2.9 versus 4.5 (P = 117), 2.1 versus 3.2 (P = 101), 1.5 versus 2.7 (P = 145), and 1.6 versus 2.0 (P = 672) after the 1st, 2nd, 6th, 12th, and 24th hour, respectively. Complications developed in 4 patients in the bupivacaine group and 7 patients in the placebo group after 3 months follow-up time. There is no strong evidence to confirm that bupivacaine instillation into preperitoneal space after laparoscopic herniorrhaphy can reduce postoperative pain. © 2009 Sage Publications.