The Journal of the American Association of Gynecologic Laparoscopists
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J Am Assoc Gynecol Laparosc · Nov 2004
Randomized Controlled Trial Clinical TrialEffect of humidified and heated CO2 during gynecologic laparoscopic surgery on analgesic requirements and postoperative pain.
To determine the effect of humidified and heated CO(2) for pneumoperitoneum during laparoscopic surgery on analgesic requirements, postoperative pain, and patient satisfaction. ⋯ The use of humidified, heated gas did not reduce postoperative pain or intraoperative analgesic requirements and is thus not preferable to standard dry, cold gas in gynecologic laparoscopic surgery.
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J Am Assoc Gynecol Laparosc · Nov 2004
Randomized Controlled Trial Clinical TrialIntraperitoneal ropivacaine and a gas drain: effects on postoperative pain in laparoscopic surgery.
To assess the benefits of the combination of a gas drain and the instillation of local anesthetic on the incidence of pain after operative gynecologic laparoscopy. ⋯ We recommend the use of a gas drain and ropivacaine to reduce postoperative pain.
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J Am Assoc Gynecol Laparosc · Aug 2003
Randomized Controlled Trial Clinical TrialComparative, double-blind, randomized, placebo-controlled trial of intraperitoneal of bupivacaine and lidocaine for pain control after diagnostic laparoscopy.
To compare the effect of intraperitoneal bupivacaine and lidocaine on reducing pain after diagnostic laparoscopy. ⋯ Compared with lidocaine and placebo, intraperitoneal bupivacaine significantly decreased postoperative pain, and this effect was long lasting.
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J Am Assoc Gynecol Laparosc · May 2003
Randomized Controlled Trial Comparative Study Clinical TrialChance of adhesion formation after laparoscopic salpingo-ovariolysis: is there a place for second-look laparoscopy?
To evaluate the chance of adhesion formation after laparoscopic salpingo-ovariolysis and determine the efficacy of early second-look laparoscopy (SLL). ⋯ The chance of moderate and severe adhesion reformation after laparoscopic salpingo-ovariolysis was 40.2%. Although separation of these adhesions could be performed more easily at the time of early SLL, the chance of pregnancy did not increase compared with that in patients who did not undergo SLL.
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J Am Assoc Gynecol Laparosc · Feb 2002
Randomized Controlled Trial Clinical TrialThe effect of intraperitoneal ropivacaine on pain after laparoscopic excision of endometriosis.
To compare the effects of ropivacaine and saline on pain after laparoscopic excision of endometriosis. ⋯ We found no difference between ropivacaine and saline, instilled intraperitoneally, in their effects on pain after extensive excision of endometriosis.