• Tine Schytte, Jens Aage Soerensen, Benedicte Hauge, and Bent Andersen.
• Department of Obstetrics and Gynecology, Vejle Hospital, Vejle, Denmark. tine.schytte@dadlnet.dk
• Acta Obstet Gynecol Scand. 2003 Jan 1; 82 (1): 57-60.

ObjectiveTo evaluate the use of preoperative transcervical analgesia for reducing postoperative pain from laparoscopic sterilization with Filshie clips.DesignA double blind, randomized, placebo-controlled trial.SettingGynecologic day-care clinic of Vejle Hospital, Vejle, Denmark.SampleSeventy-eight healthy women were attending the public hospital requesting sterilization.MethodsParticipants received bupivacaine 0.25% 20 mL or placebo normal saline 20 mL injected into the uterus, though the fallopian tubes and into the pelvis before tubal occlusion with Filshie clips.Main Outcome MeasuresPost-operative visual analog pain score and request for analgesia were recorded.ResultsAt 30 min after clip application there was a non-significant reduction in pain-score on VAS. However, at 1, 2, 3 and 4 h median pain score on VAS was similar in both groups. Patients request for postoperative analgesia was similar in the two groups.ConclusionsPreoperative transcervical perfusion of the uterus, fallopian tubes and into the pelvis did not reduce postoperative pain or request for analgesics after laparoscopic sterilization with Filshie clips.

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