A prospective, randomized, controlled trial of the postoperative analgesic effects of spraying 0.25 % levobupivacaine after bilateral axillo-breast approach robotic thyroidectomy
Background Robotic thyroidectomy (RoT) is frequently performed due to its excellent cosmesis and recovery features. However, postoperative pain in the operating field after RoT remains a concern due to extensive tissue dissection and tension during the operation. The aim of this study was to evaluat...
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| Veröffentlicht in: | Surgical endoscopy 2015-01, Vol.29 (1), p.163-169 |
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| creator | Ryu, Jung-Hee Yom, Cha Kyong Kwon, Hyungju Kim, Kyu Hyung Choi, June Young Jung, Jun Woo Kim, Sung-Won Oh, Ah-Young |
| description | Background
Robotic thyroidectomy (RoT) is frequently performed due to its excellent cosmesis and recovery features. However, postoperative pain in the operating field after RoT remains a concern due to extensive tissue dissection and tension during the operation. The aim of this study was to evaluate the anterior chest pain and the effect of levobupivacaine spraying on postoperative pain control after bilateral axillo-breast approach (BABA) RoT.
Methods
We randomized 55 adult patients scheduled for BABA RoT into the control group (group C,
n
= 27) or the levobupivacaine group (group L,
n
= 28). At the end of surgery, patients in groups C and L were sprayed with the same volume (30 ml) of normal saline and 0.25 % levobupivacaine, respectively, on the flap dissection area. Pain scores, the consumption of patient-controlled analgesia (PCA), and other adverse effects were assessed at 1, 6, 24, and 48 h postoperatively.
Results
Patients in group L showed lower pain scores than those of group C at 1 h (50 [0–100] vs. 80 [20–100];
p
= 0.004), 6 h (30 [0–90] vs. 70 [30–90];
p
|
| doi_str_mv | 10.1007/s00464-014-3671-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1652401914</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3556613941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c538t-98cafaed78af2aea59bb13f7c97d89e04bb41ff7e0a0ce97ada17240be5408783</originalsourceid><addsrcrecordid>eNp1kc2KFDEUhYMoTtv6AG4kIIKLqTGpSnUqy2HwDwbc6Lq4Sd1MZ0hVyiTdTPk0voNv4JOZokcRwdXdfOdLOIeQ55xdcMbkm8SY2ImKcVE1O8mr5QHZcNHUVV3z7iHZMNWwqpZKnJEnKd2ygivePiZndcu5agXbkB-XdI4hzWiyO-I5jTANYXTfcDinJkw5Bu9xoDk68DRYmvdI55BymDHCGqEwgb_B5AxFa4smrViaIyxuuqHsom5_fn9FPR6DPszuCAbcVFI2Y6TaeSi3qOHOeR8qHRFSpjCXT4HZ0xh0yEWd90sMbij6MC5PySMLPuGz-7slX969_Xz1obr-9P7j1eV1Zdqmy5XqDFjAQXZga0Bolda8sdIoOXQKmdBacGslMmAGlYQBuKwF01ia6WTXbMnrk7d85usBU-5Hlwx6DxOGQ-r5ri04V6XyLXn5D3obDrE0s1KiZaKRghWKnyhTKk8RbT9HN0Jces76ddH-tGhfFu3XRfulZF7cmw96xOFP4veEBahPQOm8NI7xr6f_a_0FQAmxvA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1645043740</pqid></control><display><type>article</type><title>A prospective, randomized, controlled trial of the postoperative analgesic effects of spraying 0.25 % levobupivacaine after bilateral axillo-breast approach robotic thyroidectomy</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ryu, Jung-Hee ; Yom, Cha Kyong ; Kwon, Hyungju ; Kim, Kyu Hyung ; Choi, June Young ; Jung, Jun Woo ; Kim, Sung-Won ; Oh, Ah-Young</creator><creatorcontrib>Ryu, Jung-Hee ; Yom, Cha Kyong ; Kwon, Hyungju ; Kim, Kyu Hyung ; Choi, June Young ; Jung, Jun Woo ; Kim, Sung-Won ; Oh, Ah-Young</creatorcontrib><description>Background
Robotic thyroidectomy (RoT) is frequently performed due to its excellent cosmesis and recovery features. However, postoperative pain in the operating field after RoT remains a concern due to extensive tissue dissection and tension during the operation. The aim of this study was to evaluate the anterior chest pain and the effect of levobupivacaine spraying on postoperative pain control after bilateral axillo-breast approach (BABA) RoT.
Methods
We randomized 55 adult patients scheduled for BABA RoT into the control group (group C,
n
= 27) or the levobupivacaine group (group L,
n
= 28). At the end of surgery, patients in groups C and L were sprayed with the same volume (30 ml) of normal saline and 0.25 % levobupivacaine, respectively, on the flap dissection area. Pain scores, the consumption of patient-controlled analgesia (PCA), and other adverse effects were assessed at 1, 6, 24, and 48 h postoperatively.
Results
Patients in group L showed lower pain scores than those of group C at 1 h (50 [0–100] vs. 80 [20–100];
p
= 0.004), 6 h (30 [0–90] vs. 70 [30–90];
p
< 0.001), 24 h (30 [0–80] vs. 50 [10–80];
p
= 0.016) and 48 h (10 [0–80] vs. 30 [10–80];
p
< 0.001) postoperatively. PCA consumption of group L was less than that of group C at 6, 24, and 48 h after surgery. There were no significant differences in postoperative nausea–vomiting, headache, or dizziness. Local anesthetic-related adverse effects were not reported.
Conclusion
Levobupivacaine spray on the operative field at the end of BABA RoT reduced postoperative pain and PCA consumption without adverse events.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-014-3671-y</identifier><identifier>PMID: 25119540</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Abdominal Surgery ; Administration, Topical ; Adult ; Aged ; Analgesia, Patient-Controlled ; Analgesics ; Analgesics - therapeutic use ; Anesthesia ; Anesthetics, Local - therapeutic use ; Axilla ; Breast ; Bupivacaine - analogs & derivatives ; Bupivacaine - therapeutic use ; Double-Blind Method ; Endoscopy ; Female ; Gastroenterology ; Gynecology ; Hepatology ; Hospitals ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Narcotics ; Pain ; Pain, Postoperative - drug therapy ; Pain, Postoperative - prevention & control ; Patients ; Proctology ; Prospective Studies ; Robotic Surgical Procedures ; Robotics ; Surgery ; Thyroid gland ; Thyroidectomy ; Thyroidectomy - methods ; Treatment Outcome</subject><ispartof>Surgical endoscopy, 2015-01, Vol.29 (1), p.163-169</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>Springer Science+Business Media New York 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-98cafaed78af2aea59bb13f7c97d89e04bb41ff7e0a0ce97ada17240be5408783</citedby><cites>FETCH-LOGICAL-c538t-98cafaed78af2aea59bb13f7c97d89e04bb41ff7e0a0ce97ada17240be5408783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-014-3671-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-014-3671-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25119540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ryu, Jung-Hee</creatorcontrib><creatorcontrib>Yom, Cha Kyong</creatorcontrib><creatorcontrib>Kwon, Hyungju</creatorcontrib><creatorcontrib>Kim, Kyu Hyung</creatorcontrib><creatorcontrib>Choi, June Young</creatorcontrib><creatorcontrib>Jung, Jun Woo</creatorcontrib><creatorcontrib>Kim, Sung-Won</creatorcontrib><creatorcontrib>Oh, Ah-Young</creatorcontrib><title>A prospective, randomized, controlled trial of the postoperative analgesic effects of spraying 0.25 % levobupivacaine after bilateral axillo-breast approach robotic thyroidectomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Robotic thyroidectomy (RoT) is frequently performed due to its excellent cosmesis and recovery features. However, postoperative pain in the operating field after RoT remains a concern due to extensive tissue dissection and tension during the operation. The aim of this study was to evaluate the anterior chest pain and the effect of levobupivacaine spraying on postoperative pain control after bilateral axillo-breast approach (BABA) RoT.
Methods
We randomized 55 adult patients scheduled for BABA RoT into the control group (group C,
n
= 27) or the levobupivacaine group (group L,
n
= 28). At the end of surgery, patients in groups C and L were sprayed with the same volume (30 ml) of normal saline and 0.25 % levobupivacaine, respectively, on the flap dissection area. Pain scores, the consumption of patient-controlled analgesia (PCA), and other adverse effects were assessed at 1, 6, 24, and 48 h postoperatively.
Results
Patients in group L showed lower pain scores than those of group C at 1 h (50 [0–100] vs. 80 [20–100];
p
= 0.004), 6 h (30 [0–90] vs. 70 [30–90];
p
< 0.001), 24 h (30 [0–80] vs. 50 [10–80];
p
= 0.016) and 48 h (10 [0–80] vs. 30 [10–80];
p
< 0.001) postoperatively. PCA consumption of group L was less than that of group C at 6, 24, and 48 h after surgery. There were no significant differences in postoperative nausea–vomiting, headache, or dizziness. Local anesthetic-related adverse effects were not reported.
Conclusion
Levobupivacaine spray on the operative field at the end of BABA RoT reduced postoperative pain and PCA consumption without adverse events.</description><subject>Abdominal Surgery</subject><subject>Administration, Topical</subject><subject>Adult</subject><subject>Aged</subject><subject>Analgesia, Patient-Controlled</subject><subject>Analgesics</subject><subject>Analgesics - therapeutic use</subject><subject>Anesthesia</subject><subject>Anesthetics, Local - therapeutic use</subject><subject>Axilla</subject><subject>Breast</subject><subject>Bupivacaine - analogs & derivatives</subject><subject>Bupivacaine - therapeutic use</subject><subject>Double-Blind Method</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Narcotics</subject><subject>Pain</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Patients</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Robotic Surgical Procedures</subject><subject>Robotics</subject><subject>Surgery</subject><subject>Thyroid gland</subject><subject>Thyroidectomy</subject><subject>Thyroidectomy - methods</subject><subject>Treatment Outcome</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc2KFDEUhYMoTtv6AG4kIIKLqTGpSnUqy2HwDwbc6Lq4Sd1MZ0hVyiTdTPk0voNv4JOZokcRwdXdfOdLOIeQ55xdcMbkm8SY2ImKcVE1O8mr5QHZcNHUVV3z7iHZMNWwqpZKnJEnKd2ygivePiZndcu5agXbkB-XdI4hzWiyO-I5jTANYXTfcDinJkw5Bu9xoDk68DRYmvdI55BymDHCGqEwgb_B5AxFa4smrViaIyxuuqHsom5_fn9FPR6DPszuCAbcVFI2Y6TaeSi3qOHOeR8qHRFSpjCXT4HZ0xh0yEWd90sMbij6MC5PySMLPuGz-7slX969_Xz1obr-9P7j1eV1Zdqmy5XqDFjAQXZga0Bolda8sdIoOXQKmdBacGslMmAGlYQBuKwF01ia6WTXbMnrk7d85usBU-5Hlwx6DxOGQ-r5ri04V6XyLXn5D3obDrE0s1KiZaKRghWKnyhTKk8RbT9HN0Jces76ddH-tGhfFu3XRfulZF7cmw96xOFP4veEBahPQOm8NI7xr6f_a_0FQAmxvA</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Ryu, Jung-Hee</creator><creator>Yom, Cha Kyong</creator><creator>Kwon, Hyungju</creator><creator>Kim, Kyu Hyung</creator><creator>Choi, June Young</creator><creator>Jung, Jun Woo</creator><creator>Kim, Sung-Won</creator><creator>Oh, Ah-Young</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>A prospective, randomized, controlled trial of the postoperative analgesic effects of spraying 0.25 % levobupivacaine after bilateral axillo-breast approach robotic thyroidectomy</title><author>Ryu, Jung-Hee ; Yom, Cha Kyong ; Kwon, Hyungju ; Kim, Kyu Hyung ; Choi, June Young ; Jung, Jun Woo ; Kim, Sung-Won ; Oh, Ah-Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-98cafaed78af2aea59bb13f7c97d89e04bb41ff7e0a0ce97ada17240be5408783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abdominal Surgery</topic><topic>Administration, Topical</topic><topic>Adult</topic><topic>Aged</topic><topic>Analgesia, Patient-Controlled</topic><topic>Analgesics</topic><topic>Analgesics - therapeutic use</topic><topic>Anesthesia</topic><topic>Anesthetics, Local - therapeutic use</topic><topic>Axilla</topic><topic>Breast</topic><topic>Bupivacaine - analogs & derivatives</topic><topic>Bupivacaine - therapeutic use</topic><topic>Double-Blind Method</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Narcotics</topic><topic>Pain</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Patients</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Robotic Surgical Procedures</topic><topic>Robotics</topic><topic>Surgery</topic><topic>Thyroid gland</topic><topic>Thyroidectomy</topic><topic>Thyroidectomy - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ryu, Jung-Hee</creatorcontrib><creatorcontrib>Yom, Cha Kyong</creatorcontrib><creatorcontrib>Kwon, Hyungju</creatorcontrib><creatorcontrib>Kim, Kyu Hyung</creatorcontrib><creatorcontrib>Choi, June Young</creatorcontrib><creatorcontrib>Jung, Jun Woo</creatorcontrib><creatorcontrib>Kim, Sung-Won</creatorcontrib><creatorcontrib>Oh, Ah-Young</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ryu, Jung-Hee</au><au>Yom, Cha Kyong</au><au>Kwon, Hyungju</au><au>Kim, Kyu Hyung</au><au>Choi, June Young</au><au>Jung, Jun Woo</au><au>Kim, Sung-Won</au><au>Oh, Ah-Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective, randomized, controlled trial of the postoperative analgesic effects of spraying 0.25 % levobupivacaine after bilateral axillo-breast approach robotic thyroidectomy</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>29</volume><issue>1</issue><spage>163</spage><epage>169</epage><pages>163-169</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Robotic thyroidectomy (RoT) is frequently performed due to its excellent cosmesis and recovery features. However, postoperative pain in the operating field after RoT remains a concern due to extensive tissue dissection and tension during the operation. The aim of this study was to evaluate the anterior chest pain and the effect of levobupivacaine spraying on postoperative pain control after bilateral axillo-breast approach (BABA) RoT.
Methods
We randomized 55 adult patients scheduled for BABA RoT into the control group (group C,
n
= 27) or the levobupivacaine group (group L,
n
= 28). At the end of surgery, patients in groups C and L were sprayed with the same volume (30 ml) of normal saline and 0.25 % levobupivacaine, respectively, on the flap dissection area. Pain scores, the consumption of patient-controlled analgesia (PCA), and other adverse effects were assessed at 1, 6, 24, and 48 h postoperatively.
Results
Patients in group L showed lower pain scores than those of group C at 1 h (50 [0–100] vs. 80 [20–100];
p
= 0.004), 6 h (30 [0–90] vs. 70 [30–90];
p
< 0.001), 24 h (30 [0–80] vs. 50 [10–80];
p
= 0.016) and 48 h (10 [0–80] vs. 30 [10–80];
p
< 0.001) postoperatively. PCA consumption of group L was less than that of group C at 6, 24, and 48 h after surgery. There were no significant differences in postoperative nausea–vomiting, headache, or dizziness. Local anesthetic-related adverse effects were not reported.
Conclusion
Levobupivacaine spray on the operative field at the end of BABA RoT reduced postoperative pain and PCA consumption without adverse events.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25119540</pmid><doi>10.1007/s00464-014-3671-y</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2015-01, Vol.29 (1), p.163-169 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1652401914 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Administration, Topical Adult Aged Analgesia, Patient-Controlled Analgesics Analgesics - therapeutic use Anesthesia Anesthetics, Local - therapeutic use Axilla Breast Bupivacaine - analogs & derivatives Bupivacaine - therapeutic use Double-Blind Method Endoscopy Female Gastroenterology Gynecology Hepatology Hospitals Humans Male Medicine Medicine & Public Health Middle Aged Narcotics Pain Pain, Postoperative - drug therapy Pain, Postoperative - prevention & control Patients Proctology Prospective Studies Robotic Surgical Procedures Robotics Surgery Thyroid gland Thyroidectomy Thyroidectomy - methods Treatment Outcome |
| title | A prospective, randomized, controlled trial of the postoperative analgesic effects of spraying 0.25 % levobupivacaine after bilateral axillo-breast approach robotic thyroidectomy |
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