Utility of anesthetic block for endometrial ablation pain: a randomized controlled trial

Klebanoff, Jordan S.; Patel, Neal B.; Sloan, Nancy L.

doi:10.1016/j.ajog.2017.11.571

Cited by 3 publications

(1 citation statement)

References 26 publications

(30 reference statements)

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“…Injection of LA at the surgical site assists with intraoperative pain control, and has been shown to decrease postoperative pain and narcotic requirement. 14,15 We follow standard recommended concentration limits to prevent local anesthesia systemic toxicity (LAST). [16][17][18] No subjects in the study population developed LAST or respiratory depression, and the average concentrations of LA used were well below the recommended upper limits.…”

Section: Discussionmentioning

confidence: 99%

Pain control for interstitial cystitis/bladder pain syndrome patients undergoing pelvic reconstructive surgery

Crouss

Mancenido

Rana

et al. 2019

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: Scant research exists on pain control for interstitial cystitis patients undergoing pelvic reconstructive surgery. Our aim was to compare the perioperative courses in patients with and without interstitial cystitis undergoing pelvic reconstructive surgery performed using primarily monitored anesthesia care with local anesthesia. Methods: A retrospective chart review of surgical cases performed at a single site from November 2015 to July 2018 was performed. Joint non-gynecologic cases were excluded. Data including demographics, intraoperative variables, medication requirements, and postoperative courses were abstracted. Chi-square, independent t, and Mann–Whitney U tests were used to compare interstitial cystitis with non-interstitial cystitis patients. Results: In total, 65 separate cases met inclusion criteria and were analyzed, with 57 individual subjects. Out of the 65 cases, 33 cases were performed on interstitial cystitis patients. Only 2 of the 33 interstitial cystitis patient cases required general anesthesia. Interstitial cystitis patients did not require higher concentrations of 1% lidocaine with epinephrine (average of 3.8 mg/kg) compared to patients without (2.8 mg/kg). There was no difference between groups in perioperative complications, length of recovery, or postoperative narcotic consumption. Conclusion: Perioperative outcomes and pain control do not differ in those with and without interstitial cystitis undergoing pelvic reconstructive surgery. Prolapse surgery can be safely performed on a patient population with a high proportion of chronic pelvic pain using monitored anesthesia care with local anesthesia, without increased morbidity or difficultly with perioperative pain control.

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Section: Discussionmentioning

confidence: 99%