A Prospective Randomized Double Blind Controlled Study Evaluating the Effects of Dexmedetomidine on Haemodynamic Status in Patients Undergoing Laparoscopic Assisted Vaginal Hysterectomy

2015 ◽  
Vol 2 (4) ◽  
pp. 227
Author(s):  
G S Ashwini ◽  
G R Kamala ◽  
K Ramesh
2005 ◽  
Vol 33 (4) ◽  
pp. 372-378 ◽  
Author(s):  
JH Kim ◽  
YS Lee ◽  
HW Shin ◽  
MS Chang ◽  
YC Park ◽  
...  

The efficacy of local anaesthetic infiltration and/or non-steroidal anti-inflammatory drugs for post-operative analgesia following laparoscopic-assisted vaginal hysterectomy (LAVH) was investigated in 83 patients, randomized into four groups in this double-blind, placebo-controlled study: group BK, local infiltration with bupivacaine and pre-incisional intramuscular (IM) ketorolac; group NN, saline local infiltration IM; group BN, local infiltration with bupivacaine and saline IM; group NK, local infiltration with saline and ketorolac IM. Post-operative pain scores were assessed at 1 h, 3 h, 6 h, 12 h and 24 h using a visual analogue scale (VAS). The major pain site, first analgesic request time and incidence of analgesic requests were also recorded. At 1 h, 3 h and 6 h after surgery, group BK patients had significantly lower VAS pain scores than group NN patients. The first analgesic request time was significantly longer in group BK than in groups NN, BN and NK. Pre-incisional treatment with ketorolac IM and local infiltration with bupivacaine reduced post-operative pain after LAVH.


2008 ◽  
Vol 88 (2) ◽  
pp. 285-286
Author(s):  
Markus Vogt ◽  
Christhardt Köhler ◽  
Simone Marnitz ◽  
Chie Hee Cho ◽  
Malgorzata Lanowska ◽  
...  

1997 ◽  
Vol 3 (4) ◽  
pp. 231-239
Author(s):  
L. Mettler ◽  
N. Lutzewitsch

Between 1993 and 1994, 368 women underwent hysterectomies for benign disorders at the University of Kiel. Of these, 58.7% were performed either by pelviscopic or by laparotomy Classic Intrafascial Supracervical Hysterectomy (CISH). Of the remaining, 14.8% were performed by abdominal hysterectomy, 13.6% by Intrafascial Vaginal Hysterectomy (IVH), 12.2% by Vaginal Hysterectomy (VH), and only 0.05% by Laparoscopic Assisted Vaginal Hysterectomy (LAVH). Comparative data of these six surgical techniques concerning patients characteristics, indications for operation, histological features, blood loss, operating time, hospital stay, uterine weights and postoperatively used analgesics are described.


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