Effect of intra-abdominal instillation of lidocaine during minor laparoscopic procedures.

Abstract

OBJECTIVE:

To assess the effect of intraperitoneal instillation of lidocaine on postoperative pain after minor gynecological laparoscopic surgery.

METHOD:

A prospective, double-blind, placebo-controlled clinical trial of 75 patients undergoing gynecological laparoscopy randomized to receive intraperitoneal instillation of either 120 mg of lidocaine (n=60) or normal saline (n=15) at the end of surgery. Postoperative pain was evaluated by Wong-Baker Faces Pain Rating Scale (WBFS) score at 15 minutes and at 1, 2, 4, 12, and 24 hours postoperatively.

RESULTS:

The WBFS score was lower for the lidocaine group than for the control group at 1, 2, and 4 hours after surgery (P=0.023). There was no difference in WBFS scores between the 2 groups at 15 minutes (P=0.46), 12 hours (P=0.13), and 24 hours (P=0.07) after surgery.

CONCLUSION:

Intraperitoneal instillation of lidocaine was effective in reducing postoperative pain after minor gynecological laparoscopic procedures.

• Authors: Walid El-Sherbiny, Walid Saber, Ahmed N Askalany, Ashraf El-Daly, Ahmed A Abde-aziz Sleem
• Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Int J Gynaecol Obstet) Vol. 106 Issue 3 Pg. 213-5 (Sep 2009) ISSN: 1879-3479 [Electronic] United States
• PMID: 19477443 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Anesthetics, Local
• Lidocaine

Topics

• Adult
• Anesthetics, Local (administration & dosage)
• Double-Blind Method
• Female
• Gynecologic Surgical Procedures
• Humans
• Infusions, Parenteral
• Instillation, Drug
• Laparoscopy
• Lidocaine (administration & dosage)
• Pain, Postoperative (prevention & control)
• Perioperative Care
• Young Adult