• Emma Readman, Peter J Maher, Antony M Ugoni, and Simon Gordon.
• Department of Endosurgery, Mercy Hospital for Women, Clarendon Street, East Melbourne, Victoria 3002, Australia.
• J Am Assoc Gynecol Laparosc. 2004 Nov 1;11(4):486-91.

Study ObjectiveTo assess the benefits of the combination of a gas drain and the instillation of local anesthetic on the incidence of pain after operative gynecologic laparoscopy.DesignRandomized control trial (Canadian Task Force classification I).SettingTertiary referral center.PatientsOne hundred twenty-eight patients undergoing operative gynecologic laparoscopy procedures lasting less than 105 minutes.InterventionsPostoperatively, one group received a blocked drain and saline placed intraperitoneally; a second group was given a blocked drain and ropivacaine; a third group received a patent drain and saline; and a fourth was given a patent drain and ropivacaine.Measurements And Main ResultsVisual analogue pain scores (VAS) were measured at 1, 2, 4, and 12 hours and day 1 to day 7. Also measured was opioid consumption at 4 hours, nausea, and activity scores. We found a statistically significant improvement in pain scores at 2 and 4 hours in the group allocated to receive a patent drain and ropivacaine.ConclusionWe recommend the use of a gas drain and ropivacaine to reduce postoperative pain.

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