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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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