Preoperative analgesia with local lidocaine infiltration for abdominal hysterectomy pain management

Löwenstein, Lior; Zimmer, Etan Z.; Deutsch, Michael; Paz, Yuri; Yaniv, Dina; Jakobi, Peter

doi:10.1016/j.ejogrb.2006.11.008

Cited by 36 publications

(18 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The results in this area are mixed with several studies showing significant pain reduction [11,12,14] while other studies did not find a reduction in pain or had mixed results [10,13,[16][17][18].…”

Section: Introductioncontrasting

confidence: 40%

See 1 more Smart Citation

Systematic Review of Clinical Evidence for Local Anesthetic Wound Infiltration in Reduction of Post-Surgical Pain

LeBlanc¹,

Sweitzer²

2015

Intern Med

View full text Add to dashboard Cite

Local anesthetic infiltration prior to surgical incision closure is a frequently used technique in the operating room. Debate continues, with clinicians, as to the effectiveness of this technique in pain reduction. A literature review using PubMed with the criteria of "local anesthetic infiltration and pain reduction" was conducted for the use of local anesthetic infiltration prior to surgical closure. The search provided 137 results that were then categorized and reviewed, the studies that reviewed the effectiveness (pain reduction) of single dose infiltration of local anesthetics into the surgical wound was small, only numbering 23 studies. The use of local anesthetics before surgical incision or a continuous infusion of the local anesthetics into the surgical wound in the immediate post-operative period is more widely studied, but the effectiveness of this practice varies greatly between studies. The efficacy of using a single pre-closure local anesthetic infiltration ranged from producing a modest reduction in post-surgical pain to no change in post-surgical pain. This systematic review revealed that few studies have examined the effectiveness of local anesthetic infiltration into surgical incisions on post-operative pain outcomes and these results vary greatly as to the effectiveness of this surgical practice.

show abstract

Section: Introductioncontrasting

confidence: 40%

“…Injecting local anesthetics prior to surgical incision into the surgical wound has been more extensively studied [10][11][12][13][14][15][16]. The results in this area are mixed with several studies showing significant pain reduction [11,12,14] while other studies did not find a reduction in pain or had mixed results [10,13,[16][17][18].…”

Section: Introductionmentioning

confidence: 62%

Systematic Review of Clinical Evidence for Local Anesthetic Wound Infiltration in Reduction of Post-Surgical Pain

LeBlanc¹,

Sweitzer²

2015

Intern Med

View full text Add to dashboard Cite

show abstract

“…Lidocaine is available in various concentrations such as 0.5, 1, 2, 4, 5 and 10% [5,[16][17][18][19]. Generally 0.5 and 1% are used for infiltrative anaesthesia, 2% for peripheral nerve blocks, 4 and 10% for topical anesthesia and 5% for spinal anaesthesia [14].…”

Section: Discussionmentioning

confidence: 99%

“…The post operative pain relief while using a local anaesthetic infiltration not only depends on the duration of action of drug but is also based on preemptive analgesia [18][19][20][21][22]. Pain transmission from the periphery to the central nervous system leads to modification or plasticity of this system resulting in prolonged and pronounced pain perception even after cessation of the painful stimuli [22,23].…”

Section: Discussionmentioning

confidence: 99%

Is Lidocaine Infiltration Really Necessary in Micro Ear Surgeries performed Under General Anaesthesia?

Senthil

Samuel

Ramachandran

2011

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To study the role of infiltrating 2% Lidocaine in Micro ear surgeries performed under general anaesthesia. To measure the impact of infiltration of 2% Lidocaine in post operative pain relief and per operative bleeding. A Double blinded, Prospective randomized comparative study was conducted in a tertiary care referral centre. A total of 30 patients planned for micro ear surgeries under general anaesthesia (Tympanoplasty and Cortical mastoidectomy) for CSOM tubotympanic disease were selected and divided into two groups randomly by the chief senior consultant. Group A patients received local infiltration of 2% Lidocaine with one in 200,000 adrenaline and Group B patients received infiltration of one in 200,000 adrenaline in distilled water alone. Operating surgeon assessed the bleeding in the surgical field using Boezaart's grading system. Post operative pain was assessed using a visual analog scale. Pain scores of these patients were assessed in the 1st, 4 and 24th h post operatively and recorded. The mean post operative pain score in the 1st h for the patients in Group A was 0.93 and for patients in Group B was two. The difference in the pain scores between the two groups was significant (P \ 0.02).The difference in the mean post operative pain scores between the two groups in the 4 and 24th h were not significant (P \ 0.1).Per operatively, grade III bleeding was present in 73% of patients in group B and only 33% of patients had grade III bleeding in group A. Infiltration of 2% Lidocaine has a significant impact over the grade of bleeding in the operative field and also on 1st h post operative pain relief. It did not have a significant influence on the pain relief in the 4 and 24th h post operatively.

show abstract

“…In those patients who will undergo abdominal procedures, the use of transversus abdominis plane (TAP) block should be considered, which is not necessary in laparoscopic procedures, since pain in these cases is mainly on port insertion sites, where local anesthetic wound infiltration has shown benefits 9 . These effects were demonstrated by Lowenstein, et al when they carried out a randomized trial with placebo and lidocaine 1% infiltrated into the incision site prior to the surgical procedure (hysterectomy), where the outcome was a significant reduction of postoperative pain within the first few hours 16 .…”

Section: Perioperative Managementmentioning

confidence: 99%

Perioperative Pain Management in Gynecologic Oncology Surgery

Garza¹,

Pérez-González²

2022

GAMO

View full text Add to dashboard Cite

Postoperative pain is a normal reaction to surgical intervention; however, it has been shown to increase morbidity, thus compromising the quality of recovery, which entails a delay in hospital discharge, increased risk of wound infection, and respiratory or cardiovascular complications, with an increase in mortality. Pain syndromes observed in patients with gynecologic oncology pathology result from three primary etiologies: those directly occurring due to the tumor, those deriving from treatments focused on reducing the tumor and those syndromes that are entirely independent of cancer or its treatment. Postoperative pain optimal management requires understanding the pathophysiology of pain and knowing the methods to be able to assess it in each patient, as well as knowledge on the different options available to control it. The key points that have to be considered are: the type of patient, type of surgical procedure, skills of the surgeon and anesthesiologist, and support of the working team. Improving the treatment of postoperative pain requires a broader perspective, since most healthcare providers have been shown to focus only on the postoperative period; however, ideal management is that where interventions are carried out before, during, and after surgery. (creativecommons.org/licenses/by-nc-nd/4.0/).Pain management in gynecologic oncology surgery 125

show abstract

Preoperative analgesia with local lidocaine infiltration for abdominal hysterectomy pain management

Cited by 36 publications

References 20 publications

Systematic Review of Clinical Evidence for Local Anesthetic Wound Infiltration in Reduction of Post-Surgical Pain

Systematic Review of Clinical Evidence for Local Anesthetic Wound Infiltration in Reduction of Post-Surgical Pain

Is Lidocaine Infiltration Really Necessary in Micro Ear Surgeries performed Under General Anaesthesia?

Perioperative Pain Management in Gynecologic Oncology Surgery

Contact Info

Product

Resources

About