Journal of endourology
-
To evaluate the possibility of performing percutaneous nephrolithotomy (PCNL) under a multimodal analgesia regime. ⋯ The use of our multimodal analgesia regime is a well-tolerated and safe alternative to general or regional anesthesia for patients undergoing PCNL.
-
Journal of endourology · May 2009
Randomized Controlled TrialEfficacy of peritubal local anesthetic infiltration in alleviating postoperative pain in percutaneous nephrolithotomy.
Percutaneous nephrolithotomy (PCNL) is a safe and effective endourologic procedure in patients with renal calculi. It is less morbid than open surgery. However, the patient complains of pain around the nephrostomy tube and demands for good postoperative analgesia. Skin infiltration with bupivacaine around the nephrostomy tube is not effective, so we hypothesize that peritubal infiltration of bupivacaine from renal capsule to the skin along the nephrostomy tract may alleviate postoperative pain. ⋯ In this study a significant difference in the pain scores and analgesic requirement was noted in the two groups of patients. Peritubal infiltration of 0.25% bupivacaine solution is efficient in alleviating postoperative pain after PCNL.