Effect of Bupivacaine Versus Lidocaine Local Anesthesia on Postoperative Pain Reduction in Single-port Access Laparoscopic Adnexal Surgery Using Propensity Score Matching

Overview

Journal Obstet Gynecol Sci

Specialty Gynecology & Obstetrics

Date 2020 Jun 4

PMID 32489982

Citations 4

Authors

Ji Hyun Lee

Sang Hyun Cho

Kyung Jin Eoh

Jung-Yun Lee

Eun Ji Nam

Sunghoon Kim

Sang Wun Kim

Young Tae Kim

Affiliations

Soon will be listed here.

Abstract

Objective: The umbilicus is a single, painful incisional site on the abdomen during trans-umbilical single-port access laparoscopic surgery. Previously, we found that periumbilical lidocaine could reduce postoperative pain. This study aimed to compare the efficacy of bupivacaine and lidocaine in reducing pain.

Methods: We performed a retrospective analysis in a study group (Bupivacaine group, 100 patients who received periumbilical infiltration of bupivacaine before their incisional site repair completion) and control group (Lidocaine group, 100 patients who received lidocaine at their incisional site repair completion). We compared postoperative pain based on the numerical rating scale (NRS) between propensity score-matched Bupivacaine-treated (n=50) and Lidocaine-treated (n=50) patients.

Results: The postoperative pain scores based on the NRS were not significantly different between the 2 groups until 12 hours post-operation. However, 24 hours post-operation, the Bupivacaine group showed significantly lower pain than the Lidocaine group (24 hours, 1.76±1.07 vs. 2.53±1.11 NRS, <0.001; 48 hours, 0.84±0.85 vs. 2.16±0.85 NRS, <0.001).

Conclusion: Periumbilical infiltration of bupivacaine has a longer acting efficacy on reducing postoperative surgical pain than that of lidocaine.

Citing Articles

Comparative analysis of spinal anesthesia versus general anesthesia in single-port access laparoscopic adnexal surgery: a propensity score matching study.

Eoh K, Ahn J, Park J, Park S, Cho Y, Song S BMC Womens Health. 2025; 25(1):83.

PMID: 39994702 PMC: 11849393. DOI: 10.1186/s12905-025-03604-7.

Can a Continuous Wound Infiltration System Replace Intravenous Patient-Controlled Analgesia for Postoperative Pain Management after a Single-Port Access Laparoscopy?.

Kang J, Seo Y, Lee H, Kim W, Paik E J Clin Med. 2024; 13(19).

PMID: 39407778 PMC: 11477422. DOI: 10.3390/jcm13195718.

Efficacy of a continuous wound infiltration system for postoperative pain management in gynecologic patients who underwent single-port access laparoscopy for adnexal disease.

Kang J, Lee K, Heo Y, Kim W, Paik E Front Med (Lausanne). 2023; 10:1199428.

PMID: 37476613 PMC: 10354268. DOI: 10.3389/fmed.2023.1199428.

Comparing surgical outcomes of da Vinci SP and da Vinci Xi for endometrial cancer surgical staging in a propensity score-matched study.

Seon K, Lee Y, Lee J, Nam E, Kim S, Kim Y Sci Rep. 2023; 13(1):11752.

PMID: 37474581 PMC: 10359395. DOI: 10.1038/s41598-023-37659-z.

Application Effect of Computer-Assisted Local Anesthesia in Patient Operation.

Hao Y, Zhang Z, Meng Y Contrast Media Mol Imaging. 2021; 2021:8643867.

PMID: 34867116 PMC: 8605904. DOI: 10.1155/2021/8643867.

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