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Procedure: Laparoscopy

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Total 16612 results found since Jan 2013.

Open versus Laparoscopic Surgery: Does the Surgical Technique Influence Pain Outcome? Results from an International Registry.
Authors: Allvin R, Rawal N, Johanzon E, Bäckström R Abstract Postoperative pain management relevant for specific surgical procedures is debated. The importance of evaluating pain with consideration given to type of surgery and the patient's perspective has been emphasized. In this prospective cohort study, we analysed outcome data from 607 patients in the international PAIN OUT registry for assessment and comparison of postoperative pain outcome within the 24 first hours after laparoscopic and open colonic surgery. Patients from the laparoscopic group scored minimum pain at a higher level than the open group (P =...
Source: Pain Research and Treatment - April 30, 2016 Category: Anesthesiology Tags: Pain Res Treat Source Type: research

Impact of the Timing of Rocuronium Injection after Propofol Administration on Temporal Summation of Pain in Gynecologic Laparoscopic Surgery: A Prospective and Controlled Study.
Conclusion: The timing of rocuronium administration after propofol injection played a role in reducing RIWM. The grade of RIWM was significantly related to pain outcomes compared with the severity of PIP. Therefore, delayed rocuronium injection after induction with propofol reduced temporal summation of pain. PMID: 33376568 [PubMed - in process]
Source: Pain Research and Management - December 31, 2020 Category: Anesthesiology Authors: Jung J, Kim B, Park SN, Lee J, Choi I, Lee MJ, Yim H, Lee C, Lee J Tags: Pain Res Manag Source Type: research

A Comparative Study between Transcutaneous Electrical Nerve Stimulation and Fentanyl to Relieve Shoulder Pain during Laparoscopic Gynecologic Surgery under Spinal Anesthesia: A Randomized Clinical Trail.
Conclusions: The findings indicated that TENS was not superior to fentanyl for pain relief in laparoscopic surgery. It seems that the correct use of TENS parameters might merit further investigation. This trial is registered with: IRCT2016031216765N3. PMID: 29743962 [PubMed - in process]
Source: Pain Research and Management - May 12, 2018 Category: Anesthesiology Authors: Asgari Z, Tavoli Z, Hosseini R, Nataj M, Tabatabaei F, Dehghanizadeh F, Haji-Amoo-Assar H, Sepidarkish M, Montazeri A Tags: Pain Res Manag Source Type: research

Evaluation of the Efficacy of Methylprednisolone, Etoricoxib and a Combination of the Two Substances to Attenuate Postoperative Pain and PONV in Patients Undergoing Laparoscopic Cholecystectomy: A Prospective, Randomized, Placebo-controlled Trial.
CONCLUSIONS: A preoperative single-dose administration of a combination of methylprednisolone and etoricoxib reduces postoperative pain along with fentanyl consumption, PONV, antiemetic requirements and fatigue more effectively than methylprednisolone or etoricoxib alone or a placebo. PMID: 25031815 [PubMed]
Source: Korean Journal of Pain - December 1, 2015 Category: Anesthesiology Tags: Korean J Pain Source Type: research

Effect of Intravenous High Dose Vitamin C on Postoperative Pain and Morphine Use after Laparoscopic Colectomy: A Randomized Controlled Trial.
Conclusion. This study shows high dose vitamin C infusion decreased postoperative pain during the first 24 h and reduced morphine consumption in the early postoperative period. Additional research needed to examine whether higher doses of vitamin C and longer infusion times can amplify these effects. PMID: 27872555 [PubMed - in process]
Source: Pain Research and Management - November 23, 2016 Category: Anesthesiology Authors: Jeon Y, Park JS, Moon S, Yeo J Tags: Pain Res Manag Source Type: research

Effects of Gabapentinoids Premedication on Shoulder Pain and Rehabilitation Quality after Laparoscopic Cholecystectomy: Pregabalin versus Gabapentin.
Conclusion: Preemptive premedication with gabapentinoids can enhance postoperative rehabilitation quality after laparoscopic cholecystectomy by reducing postoperative shoulder pain, decreasing PONV incidence, and improving sleep quality during the first postoperative night. This trial is registered with ClinicalTrial.gov (NCT03241875). PMID: 30123399 [PubMed - in process]
Source: Pain Research and Management - August 21, 2018 Category: Anesthesiology Authors: Nakhli MS, Kahloul M, Jebali C, Frigui W, Naija W Tags: Pain Res Manag Source Type: research

Spinal Anesthesia and Spinal Anesthesia with Subdiaphragmatic Lidocaine in Shoulder Pain Reduction for Gynecological Laparoscopic Surgery: A Randomized Clinical Trial.
CONCLUSION: The use of subdiaphragmatic lidocaine at the beginning of surgery combined with spinal anesthesia was not associated with a statistically significant difference in patients' postoperative VAS scores compared to spinal anesthesia and GA during and after gynecological surgical procedures. The study was registered in Iranian Registry of Clinical Trial by the number of IRCT2016022226698N1. PMID: 28932131 [PubMed - in process]
Source: Pain Research and Management - September 23, 2017 Category: Anesthesiology Authors: Asgari Z, Rezaeinejad M, Hosseini R, Nataj M, Razavi M, Sepidarkish M Tags: Pain Res Manag Source Type: research

Systemic Lidocaine Fails to Improve Postoperative Pain, But Reduces Time to Discharge Readiness in Patients Undergoing Laparoscopic Sterilization in Day-Case Surgery: A Double-Blind, Randomized, Placebo-Controlled Trial
Conclusions: In laparoscopic sterilization, systemic lidocaine reduces time to readiness for hospital discharge.
Source: Regional Anesthesia and Pain Medicine - April 21, 2016 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Are preoperative experimental pain assessments correlated with clinical pain outcomes after surgery? A systematic review
Conclusions QST before surgery does not consistently predict pain after surgery. High quality studies investigating the presence of different QST variables in combination or along with other pain-related psychosocial factors are warranted to confirm the clinical relevance of QST prior to surgery. Implications Although preoperative QST does not show consistent results, future studies in this area should include assessment of central pain mechanisms like temporal summation of pressure pain, conditioned pain modulation, and responses to pain above the pain threshold since these variables show promising associations to pain after surgery.
Source: Scandinavian Journal of Pain - December 19, 2016 Category: Anesthesiology Source Type: research

Automated Assessment of Children's Postoperative Pain Using Computer Vision
CONCLUSIONS: CVML pain assessment models derived from automatic facial expression measurements demonstrated good-to-excellent accuracy in binary pain classifications, strong correlations with patient self-reported pain ratings, and parent-equivalent estimation of children’s pain levels over typical pain trajectories in youth after appendectomy.
Source: PEDIATRICS - July 1, 2015 Category: Pediatrics Authors: Sikka, K., Ahmed, A. A., Diaz, D., Goodwin, M. S., Craig, K. D., Bartlett, M. S., Huang, J. S. Tags: Administration/Practice Management, Medical Technology and Advancement, Anesthesiology/Pain Medicine Article Source Type: research

Early visceral pain predicts chronic pain after laparoscopic cholecystectomy
Summary: Cumulated visceral pain, but not incisional and referred pain, during the first postoperative week is associated with chronic pain 12months after laparoscopic cholecystectomy.Abstract: Chronic pain after laparoscopic cholecystectomy is related to postoperative pain during the first postoperative week, but it is unknown which components of the early pain response is important. In this prospective study, 100 consecutive patients were examined preoperatively, 1week postoperatively, and 3, 6, and 12months postoperatively for pain, psychological factors, and signs of hypersensitivity. Overall pain, incisional pain (som...
Source: Pain - September 22, 2014 Category: Anesthesiology Authors: Morten Rune Blichfeldt-Eckhardt, Helle Ørding, Claus Andersen, Peter B. Licht, Palle Toft Tags: Research papers Source Type: research

Persistent posthysterectomy pain: A prospective, observational study
CONCLUSION: Persistent posthysterectomy pain is common, but pain is mild and does not interfere with daily activities for most of the patients 6 months after surgery. Smoking is the strongest predictor for persistent pain. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT 01537731.
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Pain Source Type: research

Characterization of persistent pain after hysterectomy based on gynaecological and sensory examination
Conclusions In this study persistent pelvic pain after vaginal or laparoscopic hysterectomy could be defined as persistent postsurgical pain in most cases and it was neuropathic in five out of nine patients. Pain had consequences on the health related quality of life. Implications Because persistent postsurgical pain seems to be the main cause of pelvic pain after hysterectomy, the decision of surgery has to be considered carefully. The management of posthysterectomy pain should be based on the nature of pain and the possibility of neuropathic pain should be taken into account at an early postoperative stage.
Source: Scandinavian Journal of Pain - December 19, 2015 Category: Anesthesiology Source Type: research

Chronic pain: The “invisible” disability
Sometime back in 2010, a good friend of mine from college who had since become a pediatrician posted a complaint on Facebook about “made up” health conditions. “Fibromyalgia, I’m looking at you,” she wrote. At this time, pain was more of an occasional visitor in my body rather than the permanent tenant it has since become. Still, I was offended on behalf of those patients with the disease. Fast forward to today and my life is all about pacing. This is because everything I do — cook, sleep, work, walk — takes time. This gradual approach to every aspect of my life is not about enlightenment or mindfulness. It i...
Source: Harvard Health Blog - April 28, 2017 Category: Consumer Health News Authors: Laura Kiesel Tags: Health Managing your health care Pain Management Source Type: blogs

Pain Intensity on the First Day after Surgery: A Prospective Cohort Study Comparing 179 Surgical Procedures
Conclusions: Several common minor- to medium-level surgical procedures, including some with laparoscopic approaches, resulted in unexpectedly high levels of postoperative pain. To reduce the number of patients suffering from severe pain, patients undergoing so-called minor surgery should be monitored more closely, and postsurgical pain treatment needs to comply with existing procedure-specific pain-treatment recommendations.
Source: Anesthesiology - February 20, 2013 Category: Anesthesiology Tags: Pain Medicine Source Type: research