지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 387 - 394 (8page)
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초록· 키워드
오류제보하기
ObjectiveTo investigate the role of port-site bupivacaine hydrochloride injection in laparoendoscopic single-site surgery (LESS)as a means of postoperative umbilical pain alleviation. MethodsA total of 200 consecutive patients who underwent LESS from October 2018 to February 2019 were included in thisrandomized prospective case control study. The patients were alternatively assigned to either the study group (0.25%10-mL bupivacaine hydrochloride injection at the 1.5-cm umbilical incision site after surgery) or the control group(no injection). All patients underwent surgery at the National Health Insurance Service Ilsan Hospital under the sameoperational setting by 3 board-certified gynecologists. Postoperative umbilical pain scores assessed using the visualanalog scale were compared between the 2 groups as the primary outcome. Student’s t-test, χ2 test, and a linearmixed model were used for the statistical analysis. A P-value of <0.05 was considered to be statistically significant. ResultsThe patients’ age, body mass index, and menopausal status; type of surgery performed; and need for additionaltrocar insertion exhibited a significant difference between the bupivacaine injection and non-injection groups. Afteradjusting for various confounding variables, the postoperative umbilical pain scores measured at postoperative2–3 hours, 6–10 hours, 1 day, and 3 days did not exhibit a significant difference between the 2 groups. ConclusionPort-site bupivacaine injection in LESS did not show any additive effect in alleviation of postoperative umbilical pain.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Khavanin N / 2013 / Comparison of perioperative outcomes in outpatient and inpatient laparoscopic hysterectomy / J Minim Invasive Gynecol 20:604~610
Wattiez A / 2002 / Laparoscopic hysterectomy / Curr Opin Obstet Gynecol 14:417~422
Pitter MC / 2014 / The impact of different surgical modalities for hysterectomy on satisfaction and patient reported outcomes / Interact J Med Res 3:e11
Medeiros LR / 2009 / Laparoscopy versus laparotomy for benign ovarian tumour / Cochrane Database Syst Rev :CD004751
Marks JL / 2012 / Systematic review and metaanalysis of intraperitoneal instillation of local anesthetics for reduction of pain after gynecologic laparoscopy / J Minim Invasive Gynecol 19:545~553
Wattiez A / 2002 / Laparoscopic hysterectomy / Curr Opin Obstet Gynecol 14:417~422
Pitter MC / 2014 / The impact of different surgical modalities for hysterectomy on satisfaction and patient reported outcomes / Interact J Med Res 3:e11
Medeiros LR / 2009 / Laparoscopy versus laparotomy for benign ovarian tumour / Cochrane Database Syst Rev :CD004751
Marks JL / 2012 / Systematic review and metaanalysis of intraperitoneal instillation of local anesthetics for reduction of pain after gynecologic laparoscopy / J Minim Invasive Gynecol 19:545~553
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