Intraperitoneal Infusion of Analgesic for Postoperative Pain Management

Conditions:   Hysterectomy;   Gynecologic Surgical Procedures;   Narcotic Use;   Pain, Postoperative Interventions:   Drug: Ropivacaine Infusion from ON-Q Pump;   Drug: Ropivacaine + Ketorolac Infusion from ON-Q Pump;   Drug: Normal Saline Infusion from ON-Q Pump Sponsors:   George Washington University;   Avanos Medical Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Conclusion: MRgFUS can be used in successful treatment of adenomyosis/focal adenomyoma by careful selection of the participant, good planning, and proper monitoring of the technique during ablation.
Source: Indian Journal of Radiology and Imaging - Category: Radiology Authors: Source Type: research
Conditions:   Hysterectomy;   Gynecologic Surgical Procedures;   Narcotic Use;   Pain, Postoperative Interventions:   Drug: Ropivacaine Infusion from ON-Q Pump;   Drug: Ropivacaine + Ketorolac Infusion from ON-Q Pump;   Drug: Normal Saline Infusion from ON-Q Pump Sponsors:   George Washington University;   Avanos Medical Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: Tubog TD, Harenberg JL, Mason-Nguyen J, Kane TD Abstract Posthysterectomy pain is caused by abdominal incision and traumatic manipulation of the intra-abdominal structures. Optimal pain management consists of a multimodal pain regimen combined with transversus abdominis plane (TAP) block. We searched PubMed, EMBASE, and Cochrane Database for randomized controlled trials evaluating the opioid-sparing effects of TAP block in patients undergoing hysterectomy. The primary outcome was morphine consumption in the perioperative phase extending to 48 hours after surgery. The secondary outcomes were pain scores at ...
Source: Journal of Studies on Alcohol and Drugs - Category: Addiction Tags: J Stud Alcohol Drugs Source Type: research
Authors: Laberge PY, Murji A, Vilos GA, Allaire C, Leyland N, Singh SS Abstract OBJECTIVES: The aim of this guideline is to provide clinicians with an update to the 2015 Clinical Practice Guideline on the Management of Uterine Fibroids. As new information and evidence has become available since 2015, the Gynaecology Clinical Practice Committee of the Society for Obstetricians and Gynaecologists of Canada has determined that an addendum to that document was necessary to inform members about treatment modalities for uterine fibroids. OUTCOMES: Implementation of this guideline update should optimize the decision-m...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Abstract OBJECTIVE: To evaluate the effects of shared decision making using a simple decision aid for opioid prescribing after hysterectomy. METHODS: We conducted a prospective quality initiative study including all patients undergoing hysterectomy for benign, nonobstetric indications between March 1, 2018, and July 31, 2018, at our academic institution. Using a visual decision aid, patients received uniform education regarding postoperative pain management. They were then educated on the department's guidelines regarding the maximum number of tablets recommended per prescription and the mean number of opioid...
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
Conclusions: Between January and December 2018, 33 patients underwent surgery between two units. Indications for surgery included dysfunctional uterine bleeding, endometrial hyperplasia, pelvic pain, post-menopausal bleeding, prophylactic surgery in BRCA positive patients and one grade 1 stage 1 endometrial cancer in whom laparoscopic hysterectomy was technically difficult and complicated by previous midline laparotomy. Ages ranged from 35-75 and BMI from 20-53.Mean operation time was 68.5 minutes and mean blood loss intraoperatively was 269mls. 15.2% (n = 5) had a blood loss equal or more than 500&thi...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
ConclusionPerioperative duloxetine did not reduce pain, need for narcotic analgesia, or reduce hospital length of stay following laparoscopic hysterectomy.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionsLaparoscopic oophorectomy to treat pelvic pain following ovary-sparing hysterectomy is a feasible yet challenging procedure. Despite a significant rate of complications and a small proportion of patients reporting persistent symptoms, most experience symptom resolution or improvement after such surgery. Further studies are needed to assess long-term outcomes. Careful patient selection and counseling are critical before this procedure.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
To evaluate the effect of perioperative duloxetine on pain management in patients recovering from laparoscopic hysterectomy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Original Article Source Type: research
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