American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Nov 2017
Randomized Controlled TrialLiposomal bupivacaine decreases pain following retropubic sling placement: a randomized placebo-controlled trial.
Midurethral slings are commonly used to treat stress urinary incontinence. Pain control, however, may be a concern. Liposomal bupivacaine is a local anesthetic with slow release over 72 hours, demonstrated to lower pain scores and decrease narcotic use postoperatively. ⋯ Liposomal bupivacaine decreased postoperative pain scores following retropubic midurethral sling placement, though pain was low in both the intervention and placebo groups. Participants who received liposomal bupivacaine were less likely to use narcotics on postoperative day 2. For this common outpatient surgery, liposomal bupivacaine may be a beneficial addition. Given the cost of this intervention, however, future cost-effective analyses may be useful.
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Am. J. Obstet. Gynecol. · Nov 2017
Randomized Controlled TrialEvaluating ureteral patency in the post-indigo carmine era: a randomized controlled trial.
Many gynecologic, urologic, and pelvic reconstructive surgeries require accurate intraoperative evaluation of ureteral patency. ⋯ The use of mannitol during cystoscopy to assess ureteral patency provided surgeons with the most overall satisfaction, ease of use, and superior visualization without affecting surgery or cystoscopy times. There were no differences in adverse events, including incidence of urinary tract infections.