The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Nov 2000
Randomized Controlled Trial Clinical TrialPain relief following day case laparoscopic tubal ligation with intra-peritoneal ropivacaine: a randomised double blind control study.
The aim of this study was to examine the effectiveness of ropivacaine administered by a simple intraperitoneal technique in relieving pain following laparoscopic application of Filshie clips. Nineteen patients were randomised to receive either ropivacaine (200 mg) or normal saline through the umbilical port following clip application. Using a visual analogue scale women receiving ropivacaine had significantly lower pain scores 2 hours post operatively (0.97 vs 2.03 p < 0.05). ⋯ Only 56% (5/9) of the women in the control group were very or totally satisfied with their pain relief. Ropivacaine administered by a simple intraperitoneal technique following laparoscopic sterilisation significantly reduces postoperative pain and parenteral analgesic requirements. It would be reasonable to consider this method as standard practice following laparoscopic tubal ligation.
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Aust N Z J Obstet Gynaecol · Nov 2000
Case ReportsPerimortem Caesarean section: two case reports and a management protocol.
Perimortem Caesarean section is a rare clinical event. Two cases are reported. ⋯ The impact of this was traumatic for the trainee specialists who managed the two cases. The relevant literature has been reviewed and a protocol for the management of this rare emergency is presented.