The Journal of the American Association of Gynecologic Laparoscopists
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J Am Assoc Gynecol Laparosc · Nov 2004
Randomized Controlled Trial Clinical TrialEffect of humidified and heated CO2 during gynecologic laparoscopic surgery on analgesic requirements and postoperative pain.
To determine the effect of humidified and heated CO(2) for pneumoperitoneum during laparoscopic surgery on analgesic requirements, postoperative pain, and patient satisfaction. ⋯ The use of humidified, heated gas did not reduce postoperative pain or intraoperative analgesic requirements and is thus not preferable to standard dry, cold gas in gynecologic laparoscopic surgery.
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J Am Assoc Gynecol Laparosc · Nov 2004
Randomized Controlled Trial Clinical TrialIntraperitoneal ropivacaine and a gas drain: effects on postoperative pain in laparoscopic surgery.
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J Am Assoc Gynecol Laparosc · Nov 2004
Clinical TrialBody piercing affecting laparoscopy: perioperative precautions.
Piercing is an increasingly popular fashion trend mainly among adolescents. Umbilical piercing in particular can cause perioperative problems during laparoscopic procedures. We describe how to deal with this fashion trend in our institutions. ⋯ However, in several patients the umbilical pierced jewelry was back in the navel on the same day of surgery, sometimes immediately after waking from anesthesia. Hospital staff should know how to remove and substitute piercing jewelry as well as how to optimize hygienic care perioperatively to prevent umbilical wound infections. Time and effort for patient teaching and hygienic care are slightly increased.
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J Am Assoc Gynecol Laparosc · Aug 2004
ReviewPain relief and outpatient hysteroscopy: a literature review.
Our early experience in setting up an ambulatory hysteroscopy service provoked a review of the literature, due to an unacceptably high failure rate. A literature review has been undertaken to establish the accepted success rates and reasons for failure, and to assess evidence for various analgesic protocols through randomized controlled trials. ⋯ Analgesic protocols studied were nonsteroidal anti-inflammatory drugs, intracervical block, paracervical block, transcervical block, and topical analgesia. Failures are due predominantly to pain, stenosis, and poor view.
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J Am Assoc Gynecol Laparosc · May 2004
Comparative StudyThe effect of warm humidified CO2 on the dissipation of residual gas following laparoscopy in piglets.
To determine whether residual gas volume reduces more quickly after insufflation with humidified CO(2) compared with dry CO(2). ⋯ Heating and humidifying CO(2) leads to faster dissipation of residual gas associated with a reduced duration of inflammation, which may contribute toward a reduction in postlaparoscopic pain.