90744
document
Postoperative pain relief following laparoscopic tubal sterilization with silastic bands . OBJECTIVE To evaluate postoperative pain relief of intramuscular ketorolac , topical bupivacaine , and placebo in patients undergoing laparoscopic tubal sterilization with silastic bands . METHODS One hundred five women undergoing laparoscopic tubal sterilization with silastic bands were randomized to one of three groups : one received intramuscular ketorolac and topical placebo applied to the fallopian tubes , the second received intramuscular placebo and topical bupivacaine , and the third received intramuscular placebo and topical placebo . Surgical procedures , anesthesia , and recovery were conducted with standardized protocols . Postoperative pain perception was graded using the modified McGill pain intensity scale at 30 minutes postoperatively , at discharge from the recovery room , and the next morning by telephone interview . Other measured variables included postoperative vomiting , additional analgesia requirement , and length of time spent in the recovery room . RESULTS Only topical bupivacaine was found to decrease postoperative pain scores significantly over those with placebo , at 30 minutes postoperatively ( median score 2 compared with 4 , P = .002 ) and at discharge from the recovery room ( median score 2 compared with 3 , P = .03 ) . There was no significant decrease in pain scores with intramuscular ketorolac compared with placebo . No differences in pain scores were found between the three groups at the next morning phone call . There were no significant differences between the three groups with respect to requirements for supplemental pain medications in the recovery room , incidence of postoperative vomiting , or length of time spent in the recovery room . CONCLUSION Topical bupivacaine decreases postoperative pain scores significantly compared with placebo in women undergoing laparoscopic tubal sterilization with silastic bands .
90745
Intervention_Pharmacological
ketorolac , topical bupivacaine
90746
Intervention_Control
placebo
90747
Intervention_Pharmacological
intramuscular ketorolac and topical placebo
90748
Intervention_Control
intramuscular placebo and
90749
Intervention_Pharmacological
topical bupivacaine
90750
Intervention_Control
intramuscular placebo and topical placebo
90751
Intervention_Control
placebo
90752
Intervention_Pharmacological
ketorolac
90753
Intervention_Control
placebo
90754
Intervention_Pharmacological
bupivacaine
90755
Intervention_Control
placebo
90756
Outcome_Pain
postoperative pain scores
90757
Outcome_Pain
pain scores
90758
Outcome_Pain
pain scores
90759
Outcome_Pain
requirements for supplemental pain medications
90760
Outcome_Adverse-effects
incidence of postoperative vomiting
90761
Outcome_Other
length of time spent in the recovery room
90762
Participant_Condition
laparoscopic tubal sterilization
90763
Participant_Condition
laparoscopic tubal sterilization
90764
Participant_Sample-size
One hundred five
90765
Participant_Sex
women
90766
Participant_Condition
laparoscopic tubal sterilization