Incidence of pain among women undergoing laparoscopic sterilization by electrocoagulation, the spring-loaded clip, and the tubal ring

Chi, I‐cheng; Cole, Lynda Painter

doi:10.1016/0002-9378(79)90713-0

Cited by 34 publications

(10 citation statements)

References 3 publications

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“…Secondary to necrosis, the Falope ring method is aknost impossible to reverse and causes the most postoperative ischemic pain. Previous studies (Chi & Cole, 1979;Dobbs, Kumar, Alexander, & Hull, 1987;Pelland, 1977) lend support to the finding that pain following placement of Falope rings is associated with greater pain than with electrocoagulation or the Hulka clip.…”

Section: Interval Laparoscopic Bilateral Tubal Steriuzationsupporting

confidence: 49%

“…Deep pelvic pain is the second type of pain and is attributable to the use of clips, rings or electrocoagulation to occlude the fallopian tubes. This pain, though severe, rarely persists for more than six hours postoperatively ( Alexander, 1997;Chi & Cole, 1979;Davis & Miller, 1988;Dobbs et al, 1987;Goldstein, 2000;Pelland, 1987). Incisional pain is the third type of pain, and is caused by frocar insertion into the abdomen.…”

Section: Pain From Tubal Sterilizationmentioning

confidence: 99%

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A Comparison of Postoperative Pain With Preemptive Administration of Intravenous Ketorolac Versus Oral Ibuprofen in Patients Undergoing Interval Laparoscopic Bilateral Tubal Sterilization

Harm¹,

Gibbons²

2000

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Public fepprting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing date sources, gathering Bird maintaining the data needed, and comp'eting end reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of iniormfltion, including suggestions for reducing this burden, to WasNngton Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arfington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. AGENCY USE ONLY (Leave blank)2. REPORT DATE October 2000 REPORT TYPE AND DATES COVEREDOctober 1999 -September 2000 TITLE AND SUBTITLEA comparison of postoperative pain with reemptive administration of intravenous ketorolac versus oral ibuprofen in patients undergoing interval lapatoscopic bilateral tubal sterilization AUTHDRIS)CPT Patricia S. Harm CPT Michael T. Gibbons FUNDING NUMBERS PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)University A major goal of anesthesia practitioners is to provide a comfortable and expedient recovery from the effects of surgery and anesthesia. This includes the challenge fostered by managed-care of facilitating earlier discharges while also managing postoperative pain. Moreover, consumer knowledge and techological advances are pressing the health care community to seek higher levels of patient satisfaction and cost containment. Elective surgery patients are acquirmg greater expectations regarding the perioperative care they receive, which includes absence of recall, minmial pain or discomfort, and absence of nausea following surgery. Each year over 10 million women m the United States alone elect to have surgical sterilization. This is usuall accomplished laparoscopically despite the problems of post-laparoscopic pain, which ca|Ebe servre enough to warrant an unplanned admission. Ketorolac and ibuprofen have both been studied in this patient popAion when given preemptively with mixed results; presently there is no conclusive evidence as to which drug is mor^fpfective. This prospective, randomized, double-blind clinic trial compared the effects over time when these patie|i received ketorolac or ibuprofen preemptively. The sam was comprised of 44 subjects undergoing laparoscopic tubal ligaibn under general endotracheal anesthesia at a regional military medical center for the Pacific Rim. The patients were either ASA category I or II and at least 18 years of age assigned to one of two treatment groups. Group I received 800 mg ibuprofen orally and a 1 ml saline placebo intravenously; conversely. Group II received an oral placebo and ketorolac 30 mg intravenously. Postoperative pain was assessed using an 11 point Numeric Rating Scale (NRS) at seven time intervals. A major goal of anesthesia practitioners is to provide a comfortable and expedient recovery from the effects of surgery and anesthesia....

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Section: Interval Laparoscopic Bilateral Tubal Steriuzationsupporting

confidence: 49%

Section: Pain From Tubal Sterilizationmentioning

confidence: 99%

A Comparison of Postoperative Pain With Preemptive Administration of Intravenous Ketorolac Versus Oral Ibuprofen in Patients Undergoing Interval Laparoscopic Bilateral Tubal Sterilization

Harm¹,

Gibbons²

2000

PsycEXTRA Dataset

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“…Quando se utilizam anéis, a dor é secundária ao estrangulamento das tubas uterinas, levando a isquemia e espasmos 5 , e torna-se mais intensa nas primeiras horas do período PO, uma vez que fatores desencadeantes da dor se mantêm por tempo prolongado 17 . Para concluir, a associação da N-butilescopolamina e dipirona sódica com o cetoprofeno mostrou que é alternativa de analgesia PO, quando a laqueadura é realizada com a técnica de diatermia.…”

Section: Discussionunclassified

“…Our study, which was different from previous studies because we have used N-butylscopolamine and sodium dipirone associated to ketoprofen for post laparoscopic sterilization analgesia, has shown that this association was only able to promote satisfactory analgesia in patients submitted to diathermy, maybe because this technique triggers less severe pain. When rings are used, pain is secondary to tubal strangulation, leading to ischemia and spasms 5 , and becomes more severe in the first PO hours, since pain triggering factors are maintained for a long time 17 . In conclusion, N-butylscopolamine and sodium dipirone associated to ketoprofen are a PO analgesic alternative for sterilization with diathermy technique.…”

Section: Discussionmentioning

confidence: 99%

Eficácia da N-butilescopolamina e dipirona sódica associadas ao cetoprofeno no alívio da dor pós-operatória de pacientes submetidas a duas técnicas diferentes de laqueadura por laparoscopia

Ganem¹,

Salem²,

Fukushima³

et al. 2005

Rev. Bras. Anestesiol.

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“…This would be consistent with previous studies that have shovm removal of insufflation gas at the end of procedure to greatly reduce this type of pain. Deep pelvic pain is the second type of pain, and rarely lasts for more than six hours postoperatively (Alexander, 1997;Chi & Cole, 1979;Davis & Miller, 1988;Dobbs et al, 1987;Goldstein et al, 2000;Pelland, 1987). None of the patients in this study reported deep pelvic or spasmodic/cramping pain.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Pre-Emptive Administration of Dextromethorphan on Postoperative Pain in Patients Undergoing Interval Laparoscopic Tubal Sterilization

Pitcher¹

2001

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Public reportino burden for tNs collection of information is estimated to average 1 hour per response, including the time for reviewing inslnictions, searching existing data sources, gathering and maintaining the date needed, and completing and reviewing the collection of information. Send comments regarding tNs burden estimate or any other aspect of tNs collection of information, including suggestions for reducing tNs burden, TITLE AND SUBTITLEThe effect of pre-emptive administration of dextromethorphan on postoperative pain in patients undergoing interval laparoscopic tubal sterilization AUTHOR(S)CPT Brian M. Pitcher PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)University Each year an estimated one million women elect to have surgical sterilization. This is performed by a laparoscopic procedure which can be severe enough to warrant an unplanned admission. With an increased understanding of the physiological basis of pain, classes of drugs not normally associated with pam reduction are now being investigated based on their ability to mteract with receptors in the pain pathway. Experimental studies have shown that the N-methyl-D-aspartate (NMDA) receptor plays a significant role in neuronal "wind-up", a state of hyperalgesia that can last from hours to days following injury or trauma.. Interfering with the NMDA receptor prior to surgical stimuli, wmd-up is prevented resuUing in decreased pain and analgesic requirements followmg surgery. Dextromethorphan, a readily available nonopioid antimssive in clinical use for more than 40 years, is one such NMDA receptor Anticosti. This prospective, randomized, double blind pilot study compared the effects over time when patients received dextromethorphan versus placebo-emptively. The sample was comprised of 14 subjects undergomg laparoscopic tubal ligation under general endotracheal anesthesia at regional military medical center for the Pacific Basin. Patients were ASA physical category I or II and at least 18 years of age and assigned to one of two groups. Group I received 60 mg of dextromethorphan orally, and Group II received an oral placebo. Postoperative pain was assessed using an 11 point Numeric Rating Scale (NRS) at eight time intervals. Additionally, a follow-up questionnaire and 48-hour postoperative telephone call were used to collect data on the patients' satisfaction of being in the study. The Student's t-test was used to determine homogeneity between the two groups. Following analysis, a statistically significant difference was found in two areas. Patients who received dextromethorphan 60 mg orally before surgery had a significant decrease m postoperative pain (p<0.04). The amount of Roxicet required postoperative was statistically less in the dextromethorphan group (p<0.02). The preoperative use of dextromethorphan may significantly decreased the amount of postoperative pain experienced with a resultant decrease in need for narcotic analgesics. This prospective, randomized, double blind pilot study compared the effects over time when patients received de...

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Incidence of pain among women undergoing laparoscopic sterilization by electrocoagulation, the spring-loaded clip, and the tubal ring

Cited by 34 publications

References 3 publications

A Comparison of Postoperative Pain With Preemptive Administration of Intravenous Ketorolac Versus Oral Ibuprofen in Patients Undergoing Interval Laparoscopic Bilateral Tubal Sterilization

A Comparison of Postoperative Pain With Preemptive Administration of Intravenous Ketorolac Versus Oral Ibuprofen in Patients Undergoing Interval Laparoscopic Bilateral Tubal Sterilization

Eficácia da N-butilescopolamina e dipirona sódica associadas ao cetoprofeno no alívio da dor pós-operatória de pacientes submetidas a duas técnicas diferentes de laqueadura por laparoscopia

The Effect of Pre-Emptive Administration of Dextromethorphan on Postoperative Pain in Patients Undergoing Interval Laparoscopic Tubal Sterilization

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