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.
To 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. ⋯ We recommend the use of a gas drain and ropivacaine to reduce postoperative pain.
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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.