The role of local anesthesia to reduce pain after PСNL

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  • Authors: Popov S.V1, Orlov I.N1, Obidnyak V.M1, Malevich S.M1, Borichev M.V1, Basok S.M1, Gadzhiev N.K2, Tagirov N.S3, Pisarev A.V4, Malkhasyan V.A5, Mazurenko D.A6
  • Affiliations:
    1. St Petersburg St Luka Clinical Hospital
    2. Nikiforov Russian Center of Emergency and Radiation Medicine
    3. St Petersburg St Elisabeth City Hospital
    4. St Petersburg Multiprofile Center, Ministry of Health of Russian Federation
    5. Moscow State Medical Stomatological University named after A.I. Evdokimov
    6. Urologic Clinic EMC
  • Issue: Vol 7, No 4 (2016)
  • Pages: 113-118
  • Section: Articles
  • URL: https://journals.eco-vector.com/pediatr/article/view/5976
  • DOI: https://doi.org/10.17816/PED74113-118
  • Cite item

Abstract


The goal of the study was to assess the level of postoperative pain in patients undergoing PCNL after paratubal infiltration with local anesthetic to compare this method of anesthesia with a control group where local anesthesia was not provided. 63 patients were included with kidney stones, confirmed by computer tomography (CT), who were planned to undergo percutaneous nephrolithitomy (PСNL). During the observation 6 patients have been excluded in accordance with the exclusion criteria. The remaining 57 patients were randomized into 2 groups: group A (n= 28) at the end of the operation received paratubal infiltration of 0.5% sol. ropivacaine; group B (n= 29) (controls) — local anesthesia was not used. Postoperative pain was assessed by means of VAS-score 1 hour, 6 hours and 24 hours after surgery. Systemic analgesia was performed with NSAIDs (intramuscular injection of 100 mg ketoprofen) when requested by the patient (Patient-Controlled Analgesia). In patients with local anesthesia, the total VAS score evaluated after 1 and 6 hours after the operation was significantly lower than in the control group. The average amount of ketoprofen required for postoperative analgesia in the group of patients with paratubal infiltration was significantly lower than in the control group. Paratubal infiltration of local anesthetic after PCNL significantly reduced postoperative pain and tended to reduce the amount of NSAIDs to eliminate pain, which in turn may reduce the risk of complications associated with NSAID.


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About the authors

Sergei V Popov

St Petersburg St Luka Clinical Hospital

Author for correspondence.
Email: doc.popov@gmail.com

Russian Federation MD, PhD, Dr. Med. Sci., Head Doctor

Igor N Orlov

St Petersburg St Luka Clinical Hospital

Email: doc.orlov@gmail.com

Russian Federation urologist, MD, PhD. Director of urologic department

Vladimir M Obidnyak

St Petersburg St Luka Clinical Hospital

Email: v.obidniak@gmail.com

Russian Federation MD, urologist. Department of Urology

Sergey M Malevich

St Petersburg St Luka Clinical Hospital

Email: malevichsm@gmail.com

Russian Federation MD, urologist. Department of Urology

Maxim V Borichev

St Petersburg St Luka Clinical Hospital

Email: medmaxx3@bk.ru

Russian Federation MD, urologist. Department of Urology

Stanislav M Basok

St Petersburg St Luka Clinical Hospital

Email: stas_basok@mail.ru

Russian Federation MD, urologist. Department of Urology

Nariman K Gadzhiev

Nikiforov Russian Center of Emergency and Radiation Medicine

Email: nariman.gadjiev@gmail.com

Russian Federation urologist, MD, PhD. Department of Urology

Nair S Tagirov

St Petersburg St Elisabeth City Hospital

Email: ruslana73nair@mail.ru

Russian Federation MD, PhD, urologist

Alexey V Pisarev

St Petersburg Multiprofile Center, Ministry of Health of Russian Federation

Email: alexey.v.pisarev@gmail.com

Russian Federation MD, urologist, Department of Urology

Vigen A Malkhasyan

Moscow State Medical Stomatological University named after A.I. Evdokimov

Email: vigenmalkhasyan@gmail.com

Russian Federation urologist, MD, PhD. Department of Urology

Denis A Mazurenko

Urologic Clinic EMC

Email: d.a.mazurenko@gmail.com

Russian Federation urologist, MD, PhD. Vice Director of Urologic Clinic

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Copyright (c) 2016 Popov S.V., Orlov I.N., Obidnyak V.M., Malevich S.M., Borichev M.V., Basok S.M., Gadzhiev N.K., Tagirov N.S., Pisarev A.V., Malkhasyan V.A., Mazurenko D.A.

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