Day case laparoscopy: a survey of postoperative pain and an assessment of the value of diclofenac

Summary A randomised, controlled study was undertaken to assess the postoperative pain and side effects experienced by patients undergoing day case diagnostic laparoscopy and laparoscopic sterilisation, and to evaluate the effectiveness in these patients of peroperative diclofenac. Patients undergoi...

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Bibliographic Details
Published in:Anaesthesia 1991-12, Vol.46 (12), p.1077-1080
Main Authors: Edwards, N. D., Barclay, K., Catling, S. J., Martin, D. G., Morgan, R. H.
Format: Article
Language:English
Subjects:
Acetaminophen - therapeutic use
Adult
Ambulatory Surgical Procedures
Analgesia
postoperative
Analgesics
Analgesics
diclofenac
Biological and medical sciences
Dextropropoxyphene - therapeutic use
Diclofenac - therapeutic use
Drug Combinations
Female
Humans
Intraoperative Period
Laparoscopy
Medical sciences
Meperidine - therapeutic use
Neuropharmacology
Pain, Postoperative - drug therapy
Pain, Postoperative - prevention & control
Pharmacology. Drug treatments
Postoperative Complications - etiology
Sterilization, Tubal
Surgery
laparoscopy, outpatient
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Summary:Summary A randomised, controlled study was undertaken to assess the postoperative pain and side effects experienced by patients undergoing day case diagnostic laparoscopy and laparoscopic sterilisation, and to evaluate the effectiveness in these patients of peroperative diclofenac. Patients undergoing laparoscopic sterilisation had significantly higher pain scores at one hour postoperatively, and at discharge, than patients undergoing diagnostic laparoscopy (p < 0.01) but there were no significant differences in pain scores 24 hours after discharge. The incidence of postoperative side effects following discharge from hospital was high, but there were no significant differences between the groups. Diclofenac had no significant effect in either group on the severity of postoperative pain, or the incidence of postoperative side effects.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1991.tb09930.x