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Evaluation of post‐operative analgesia following laparoscopic application of Filshie clips
Author(s) -
Fiddes T. M.,
Williams H. W.,
Herbison G. P.
Publication year - 1996
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1996.tb09598.x
Subject(s) - medicine , pethidine , visual analogue scale , clips , anesthesia , randomized controlled trial , pain scale , laparoscopy , analgesic , saline , surgery , pelvic pain , fallopian tube , physical therapy
Objective To evaluate the efficacy of injecting 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes to control post‐operative pain after laparoscopic Filshie clip application. Design A double blind, randomised controlled trial. Setting The day surgery unit of the Dunedin Public Hospital, Otago, New Zealand. Participants Fifty–nine women attending the public hospital requesting sterilisation. Interventions The experimental group received an infiltration of 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes. The control group received an infiltration of normal saline in the same site. Main outcome measures The use of post–operative pethidine and the scores obtained on a modification of the McGill present pain intensity score, a visual analogue scale of present pain, a pain relief score and comparisons of time to first analgesia use. Results The use of pethidine in the experimental group was significantly reduced [ P = 0. 001 ] Pain relief scores indicated significant benefit from the intervention. The time to first analgesic use was significantly greater in the experimental group. Conclusion Lignocaine infiltration at the cornual end of the fallopian tubes during laparoscopic Filshie clip application is highly effective in producing post–operative pain relief.