Acupuncture for minor gynecological operations

1980 ◽  
Vol 61 (5) ◽  
pp. 45-46
Author(s):  
A. A. Zamaletdinov

A comparative study of the effectiveness of abortion acupuncture in comparison with methods of local anesthesia was carried out. Acupuncture analgesia turned out to be a more effective method of pain relief for abortion surgery than paracervical administration of novocaine and lubrication of the mucous membrane of the cervical canal with dicaine.

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Muhammad Zakria Wahla ◽  
Anwarul Haq ◽  
Fawad Mumtaz

The object of the study was to assess the pain relief after Bupivacaine infiltration in the wound in the patients following hernioraphy and to compare it with patients who received narcotic analgesia. 400 patients were selected, 200 being allocated to each group. Pain was compared according to pain scale and mobility of the patients post operatively. After the first 6 hours patients who received Bupivacaine were mobilized earlier as compared to 2nd group. This shows that long acting local anesthesia can be used in a day care surgery.


1927 ◽  
Vol 23 (5) ◽  
pp. 591-591

To make the dilation of the cervical canal painless, the author recommends making 4-6 injections into the outermost layer of the cervical myometrium, around the canal; the needle should thus penetrate deep into 3-4 centimeters, and 40-50 cc of % novocaine solution with suprarenin is injected this way; pain relief comes in 5 minutes.


2012 ◽  
Vol 47 (1) ◽  
pp. 108-112
Author(s):  
Robson Rocha da Silva ◽  
Marcos Almeida Matos ◽  
Gleise Madureira ◽  
Indiara Gouveia dos Santos

BMC Surgery ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Chun-Nan Yeh ◽  
Chun-Yi Tsai ◽  
Chi-Tung Cheng ◽  
Shang-Yu Wang ◽  
Yu-Yin Liu ◽  
...  

2019 ◽  
Vol 6 (2) ◽  
pp. 365
Author(s):  
Probal Neogi ◽  
Soumitra Manwatkar ◽  
Santosh Kumar Singh ◽  
Anish Kola ◽  
Qazi Imran ◽  
...  

Background: Mastalgia is a common problem and 60-70% women encounter it at least once in their lifetime. Many drugs have been used and are been used with varying response, like Tamoxifen, Danazol, primrose oil, topical analgesics and recently Centchroman. The objective of the present study was to compare the three most commonly used drugs in the treatment of mastalgia, namely Centchroman, Tamoxifen and Danazol with a placebo.Methods: All consecutive female patients more than 25 years of age with history of mastalgia for more than 3 months were taken up for the study. Patients were distributed into four groups and administered Centchroman, danazol, tamoxifen and placebo, respectively.Results: In present study of 78 patients, the median visual analogue score (VAS) in Centchroman group were 3, 1 and 3 after treatment of 4, 12 and 24 weeks, respectively with a pre-treatment VAS of 8. Similarly, in the danazol group, VAS at 4, 12 and 24 weeks were 4, 1.5 and 5, respectively. In the Tamoxifen group it was 4, 1 and 3 after treatment for 4, 12 and 24 weeks. On comparison, Centchroman and Tamoxifen both had better pain relief than danazol at 24 weeks (p <0.001) while Centchroman and Tamoxifen had comparable results (p >0.05) despite Centchroman having a lower mean VAS score.Conclusions: Mild cyclical mastalgia can be treated with reassurance and lifestyle measures. Moderate to severe mastalgia usually require drug treatment. Centchroman, Danazol and Tamoxifen are effective. Centchroman appears to have better pain relief relative to the rest.


2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Mukesh Kumar Prasad ◽  
Payal Jain ◽  
Rohit Kumar Varshney ◽  
Aditi Khare ◽  
Gurdeep Singh Jheetay

Background: Anesthetic management of severe post burn neck contracture is difficult, demanding due to fixed flexion deformity of neck, incomplete oral occlusion and insufficient mouth opening leading to difficulty in intubation. Patients undergoing contracture release, skin graft harvest under general anesthesia (GA) were compared with patients undergoing the same surgery under tumescent local anesthesia (TLA) technique. Methodology: Twenty-one patients with post burn neck contracture undergoing contracture release with split skin grafting under GA were compared with twenty-one patients undergoing the same surgery under TLA. Post-operative pain and satisfaction were assessed using 10 cm VAS (Visual Analogue Scale).  Results: Demographic profile was comparable in both groups. Changes in intra-operative vital parameters remained insignificant. The average volume of tumescent solution used was 254.76 + 49.05ml. Blood loss was significantly decreased, postoperative pain relief was more than sixteen hours in thirteen patients and extended beyond twenty-four hours in six patients in the TLA group. Time for the first rescue analgesia was significantly lesser in the GA group and the average dose of injection tramadol used in the GA group was significantly higher within the first 24 h. Overall satisfaction in the TLA group was significantly higher than in the GA group. Conclusion: TLA can be used as sole technique for release of post burn neck contracture and harvest of split skin grafts with less blood loss and significantly better postoperative pain relief avoiding complications of general anesthesia. Key words: Tumescent local anesthesia; Post burn neck contracture; Skin graft harvest; General anesthesia Citation: Prasad MK, Jain P, Varshney RK, Khare A, Jheetay GS. Tumescent local anesthesia as an alternative to general anesthesia in the release of post-burn neck contracture and skin graft harvesting: A comparative study. Anaesth. Pain intensive care 2021;25(1):34–39. DOI: 10.35975/apic.v25i1.1434 Received: 18 February 2020, Reviewed: 16 March 2020, Accepted: 30 April 2020


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