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http://hdl.handle.net/11452/22789
Başlık: | Systematic review and metaanalysis of intraperitoneal instillation of local anesthetics for reduction of pain after gynecologic laparoscopy |
Yazarlar: | Marks, Jennifer L. Tulandi, Togas Uludağ Üniversitesi/Tıp Fakültesi/Kadın Hastalıkları ve Doğum Anabilim Dalı. 0000-0003-1106-3747 Ata, Bariş C-8049-2013 16306205100 |
Anahtar kelimeler: | Obstetrics & gynecology Analgesics Anesthesia Anesthetic Laparoscopy Postoperative pain Placebo-controlled trial Postoperative pain Double-blind Tubal-sterilization Operative laparoscopy Preemptive analgesia Topical bupivacaine Randomized-trial Rectus sheath Relief |
Yayın Tarihi: | 2012 |
Yayıncı: | Elsevier Science |
Atıf: | Marks, J.L. vd. (2009). "Systematic review and metaanalysis of intraperitoneal instillation of local anesthetics for reduction of pain after gynecologic laparoscopy". Journal of Minimally Invasive Gynecology, 19(5), 545-553. |
Özet: | We reviewed the effectiveness of intraperitoneal instillation of local anesthetic on pain after gynecologic laparoscopic surgery. Sources included the Cochrane Central Register of Controlled Trials, MEDLINE/PubMed, EMBASE, and Ovid MEDLINE In-Process & Other Non-Indexed Citations databases, and abstracts, reference lists, and randomized controlled trial (RCT) registries. The 7 included RCTs compared pain scores after administration of intraperitoneal analgesics or placebo/control during gynecologic laparoscopic surgery with benign indications. Outcome measures were pain scores (per visual analog scale) at 1 to 2, 4 to 6, and 24 hours postoperatively. Pain scores were significantly lower in the groups receiving local anesthesia at 1 to 2 hours (weighted mean difference [WMD], -1.82; 95% confidence interval [CI], -2.55 to -1.08]) and 4 to 6 hours postoperatively (WMD, -2.00; 95% CI, -3.64 to -0.35), but were similar at 24 hours (WMD, -1.43; 95% CI, -1.15 to 0.96). Local analgesia instilled intraperitoneally significantly decreased pain during a 6-hour interval after gynecologic laparoscopy. |
URI: | https://doi.org/10.1016/j.jmig.2012.04.002 https://www.sciencedirect.com/science/article/pii/S1553465012001872 https://pubmed.ncbi.nlm.nih.gov/22763313/ http://hdl.handle.net/11452/22789 |
ISSN: | 1553-4650 1553-4669 |
Koleksiyonlarda Görünür: | Scopus Web of Science |
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