The American Journal of Surgery
Volume 176, Issue 3 , Pages 258-261 , September 1998

A prospective randomized trial of intraoperative bupivacaine irrigation for management of shoulder-tip pain following laparoscopy

  • M.Geraldine Cunniffe, MB

      Affiliations

    • Department of Surgery (MGC, OJMA, MAD, JC), University College Hospital, Galway, Ireland
  • ,
  • Oliver J McAnena (MCH, FRCSI)

      Affiliations

    • Department of Surgery (MGC, OJMA, MAD, JC), University College Hospital, Galway, Ireland
    • Corresponding Author InformationRequests for reprints should be addressed to Mr. O.J. McAnena, Department of Surgery, University College Hospital, Galway, Ireland
  • ,
  • Manzoor A Dar (FRCS)

      Affiliations

    • Department of Surgery (MGC, OJMA, MAD, JC), University College Hospital, Galway, Ireland
  • ,
  • John Calleary (FRCSI)

      Affiliations

    • Department of Surgery (MGC, OJMA, MAD, JC), University College Hospital, Galway, Ireland
  • ,
  • Noel Flynn (FFARCSI)

      Affiliations

    • Department of Anaesthetics (NF), University College Hospital, Galway, Ireland

Received 27 September 1997 ,Revised 1 May 1998 ,Accepted 1 May 1998.

References 

  1. Dobbs FF, Kumar V, Alexander JI, Hull MGR. Pain after laparoscopy related to posture and ring versus clip sterilisation. Br J Obstet Gynaecol. 1987;94:262–266
  2. Semm K, Riedel HH. Das postpelviskopische (laparoskopische) schmerzsyndrom. Gerburtshilfe Fraueheilk. 1980;40:635–643
  3. Loughney AD, Scarma V, Ryall EA. Intraperitoneal bupivacaine for the relief of pain following day-case laparoscopy. Br J Obstet Gynaecol. 1994;101:449–451
  4. Kelly MC. An assessment of the value of intraperitoneal bupivacaine for analgesia after laparoscopic sterilisation. Br J Obstet Gynaecol. 1996;103:837–839
  5. Narchi P, Benhamou D, Fernandez H. Intraperitoneal local anaesthetic for shoulder pain after day-case laparoscopy. Lancet. 1991;338:1569–1570
  6. Schulte-Steinberg H, Stein C, et al.  Intraperitoneal versus interpleural morphine or bupivacaine for pain relief after laparoscopic cholecystectomy. Anaesthesiology. 1995;82:634–640
  7. Joris J, Thiry E, Paris P, et al.  Pain after laparoscopic cholecystectomy (characteristics and effect of intraperitoneal bupivacaine). Anaesth Analg. 1995;81:379–384
  8. Rademaker BM, Kalkman CJ, Odoom JA, et al.  Intraperitoneal local anaesthetics after laparoscopic cholecystectomy (effects on post-operative pain, metabolic responses and lung function). Br J Anaesth. 1994;72:263–266
  9. Scheinin B, Kellokumpu I, Lindgren L, et al.  Effect of intraperitoneal bupivacaine on pain after laparoscopic cholecystectomy. Acta Anaesthesiol Scand. 1995;39:195–198
  10. Jorgensen JO, Gillies RB, Hunt DR, et al.  A simple and effective way to reduce postoperative pain after laparoscopic cholecystectomy. Aust N Z J Surg. 1995;65:466–469
  11. Pasqualucci A, De Angelis V, Contardo R, et al.  Pre-emptive analgesia (intraperitoneal local anaesthetic in laparoscopic cholecystectomy). Anaesthesiology. 1996;85:11–20
  12. Narchi P, Benhamou D, Bouaziz H, et al.  Serum concentrations of local anaesthetics following intraperitoneal administration during laparoscopy. Eur J Clin Pharm. 1992;42:223–225
  13. Speilman FJ, Hulka JF, Ostheimer GW, Mueller RA. Pharmacokinetics and pharmacodynamics of local analgesia for laparoscopic tubal ligations. Am J Obstet Gynecol. 1983;146:821–824
  14. Scott DB. Evaluation of the toxicity of local anaesthetic agents in man. Br J Anaesth. 1975;47:56–61

 This work was supported by the Health Research Board, Dublin, Ireland.

PII: S0002-9610(98)00150-0

The American Journal of Surgery
Volume 176, Issue 3 , Pages 258-261 , September 1998