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Table of Contents
Vol. 33, No. 1, 2001
Issue release date: January – February
Section title: Original Paper
Eur Surg Res 2001;33:39–41
(DOI:10.1159/000049691)

The Value of Pre-Emptive Analgesia in the Treatment of Postoperative Pain after Laparoscopic Cholecystectomy

Uzunköy A. · Coskun A. · Akinci O.F.
Harran University School of Medicine, Department of Surgery, Sanliurfa, Turkey

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: May 02, 2001
Issue release date: January – February

Number of Print Pages: 3
Number of Figures: 0
Number of Tables: 2

ISSN: 0014-312X (Print)
eISSN: 1421-9921 (Online)

For additional information: http://www.karger.com/ESR

Abstract

Background and Aim: Postoperative pain is an important surgical problem. Recent studies in pain pathophysiology have led to the hypothesis that with pre-operative administration of analgesics (pre-emptive analgesia) it may be possible to prevent or reduce postoperative pain. This study was planned to investigate the efficacy of pre-emptive analgesia on postoperative pain after laparoscopic cholecystectomy. Methods: 45 patients undergoing laparoscopic cholecystectomy were randomized into three groups. Bupivacaine was injected into the area of skin incision before trocar entry and after trocar removal in group 1 and 2, respectively; however, this procedure was not applied to the control group. The pain score of the patients was evaluated by the visual analogue scale (VAS) at 1, 4, 12and 24 h after surgery. The daily analgesic requirement was evaluated in terms of diclophenac sodium (Diclomec, Abdi Ibrahim, 75 mg) intake/day. Analgesics were given to the patients whose VAS was 5 or higher. Results: While there was no significant difference in VAS scores between group 1 and 2, the mean pain scores of these two groups were found to be significantly lower than of the control group although the analgesic requirement of the patients in each group was not statistically significant. Conclusion: Pre-emptive analgesia is as effective as postsurgical local anaesthesia in reducing postoperative pain.

© 2001 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: May 02, 2001
Issue release date: January – February

Number of Print Pages: 3
Number of Figures: 0
Number of Tables: 2

ISSN: 0014-312X (Print)
eISSN: 1421-9921 (Online)

For additional information: http://www.karger.com/ESR


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