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Article: A prospective trial of analgesia following endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: Local wound infiltration vs extraperitoneal instillation of bupivacaine

TitleA prospective trial of analgesia following endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: Local wound infiltration vs extraperitoneal instillation of bupivacaine
Authors
KeywordsAnalgesia
Hernia
Inguinal herniorrhaphy
Laparoscopy
Totally extraperitoneal hernioplasty
Issue Date2002
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy And Other Interventional Techniques, 2002, v. 16 n. 1, p. 159-162 How to Cite?
AbstractBackground: The extraperitoneal instillation of bupivacaine has been shown to be superior to the use of a placebo for postoperative analgesia following endoscopic extraperitoneal inguinal hernioplasty. The objective of the present study was to compare the efficacy of postoperative analgesia by local wound infiltration to instillation of the extraperitoneal space with bupivacaine. Methods: Between 1 September 1999 and 2 June 2000, a total of 100 patients who underwent unilateral endoscopic extraperitoneal inguinal hernioplasties were recruited to receive either local wound infiltration with 10 ml of 0.5% bupivacaine (group I, n = 50) or instillation of the extraperitoneal space with 40 ml of 0.25% bupivacaine after mesh placement (group II, n = 50). Daily postoperative pain was assessed by visual analogue pain score on a scale from 0 to 10 at rest and upon coughing. Total amount of oral analgesic consumed and clinical outcomes of the two groups were compared. Results: A comparison of daily pain scores of the two groups at rest and upon coughing showed no significant difference (p = ns). The mean number of oral analgesic tablets consumed were 3.2 ± 0.5 (SEM) and 3.3 ± 0.5 (SEM) in groups I and II, respectively (p = ns). During follow-up, asympatomatic groin collections were more common in group II (n = 4) than group I (n = 2) (p = ns). Conclusions: Compared to local wound infiltration with bupivacaine, the extraperitoneal instillation of bupivacaine did not bestow any additional analgesic benefits. Therefore, the routine infiltration of skin incisions with bupivacaine is recommended after endoscopic extraperitoneal inguinal hernioplasty.
Persistent Identifierhttp://hdl.handle.net/10722/84097
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorPatil, NGen_HK
dc.contributor.authorLee, Fen_HK
dc.contributor.authorYuen, WKen_HK
dc.date.accessioned2010-09-06T08:48:54Z-
dc.date.available2010-09-06T08:48:54Z-
dc.date.issued2002en_HK
dc.identifier.citationSurgical Endoscopy And Other Interventional Techniques, 2002, v. 16 n. 1, p. 159-162en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84097-
dc.description.abstractBackground: The extraperitoneal instillation of bupivacaine has been shown to be superior to the use of a placebo for postoperative analgesia following endoscopic extraperitoneal inguinal hernioplasty. The objective of the present study was to compare the efficacy of postoperative analgesia by local wound infiltration to instillation of the extraperitoneal space with bupivacaine. Methods: Between 1 September 1999 and 2 June 2000, a total of 100 patients who underwent unilateral endoscopic extraperitoneal inguinal hernioplasties were recruited to receive either local wound infiltration with 10 ml of 0.5% bupivacaine (group I, n = 50) or instillation of the extraperitoneal space with 40 ml of 0.25% bupivacaine after mesh placement (group II, n = 50). Daily postoperative pain was assessed by visual analogue pain score on a scale from 0 to 10 at rest and upon coughing. Total amount of oral analgesic consumed and clinical outcomes of the two groups were compared. Results: A comparison of daily pain scores of the two groups at rest and upon coughing showed no significant difference (p = ns). The mean number of oral analgesic tablets consumed were 3.2 ± 0.5 (SEM) and 3.3 ± 0.5 (SEM) in groups I and II, respectively (p = ns). During follow-up, asympatomatic groin collections were more common in group II (n = 4) than group I (n = 2) (p = ns). Conclusions: Compared to local wound infiltration with bupivacaine, the extraperitoneal instillation of bupivacaine did not bestow any additional analgesic benefits. Therefore, the routine infiltration of skin incisions with bupivacaine is recommended after endoscopic extraperitoneal inguinal hernioplasty.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_HK
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_HK
dc.subjectAnalgesiaen_HK
dc.subjectHerniaen_HK
dc.subjectInguinal herniorrhaphyen_HK
dc.subjectLaparoscopyen_HK
dc.subjectTotally extraperitoneal hernioplastyen_HK
dc.titleA prospective trial of analgesia following endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: Local wound infiltration vs extraperitoneal instillation of bupivacaineen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=16 &issue=1&spage=159 &epage= 162&date=2002&atitle=A+prospective+trial+of+analgesia+following+endoscopic+totally+extraperitoneal+(TEP)+inguinal+hernioplastyen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00464-001-8106-xen_HK
dc.identifier.pmid11961629-
dc.identifier.scopuseid_2-s2.0-0036136503en_HK
dc.identifier.hkuros83752en_HK
dc.identifier.hkuros69006-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036136503&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue1en_HK
dc.identifier.spage159en_HK
dc.identifier.epage162en_HK
dc.identifier.isiWOS:000173060500037-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK
dc.identifier.scopusauthoridLee, F=7403111996en_HK
dc.identifier.scopusauthoridYuen, WK=7102761292en_HK

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