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The role of local anesthesia to reduce pain after PСNL
- 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
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Affiliations:
- St Petersburg St Luka Clinical Hospital
- Nikiforov Russian Center of Emergency and Radiation Medicine
- St Petersburg St Elisabeth City Hospital
- St Petersburg Multiprofile Center, Ministry of Health of Russian Federation
- Moscow State Medical Stomatological University named after A.I. Evdokimov
- 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
- ID: 5976
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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
MD, PhD, Dr. Med. Sci., Head Doctor Russian Federation
Igor N Orlov
St Petersburg St Luka Clinical Hospital
Email: doc.orlov@gmail.com
urologist, MD, PhD. Director of urologic department Russian Federation
Vladimir M Obidnyak
St Petersburg St Luka Clinical Hospital
Email: v.obidniak@gmail.com
MD, urologist. Department of Urology Russian Federation
Sergey M Malevich
St Petersburg St Luka Clinical Hospital
Email: malevichsm@gmail.com
MD, urologist. Department of Urology Russian Federation
Maxim V Borichev
St Petersburg St Luka Clinical Hospital
Email: medmaxx3@bk.ru
MD, urologist. Department of Urology Russian Federation
Stanislav M Basok
St Petersburg St Luka Clinical Hospital
Email: stas_basok@mail.ru
MD, urologist. Department of Urology Russian Federation
Nariman K Gadzhiev
Nikiforov Russian Center of Emergency and Radiation Medicine
Email: nariman.gadjiev@gmail.com
urologist, MD, PhD. Department of Urology Russian Federation
Nair S Tagirov
St Petersburg St Elisabeth City Hospital
Email: ruslana73nair@mail.ru
MD, PhD, urologist Russian Federation
Alexey V Pisarev
St Petersburg Multiprofile Center, Ministry of Health of Russian Federation
Email: alexey.v.pisarev@gmail.com
MD, urologist, Department of Urology Russian Federation
Vigen A Malkhasyan
Moscow State Medical Stomatological University named after A.I. Evdokimov
Email: vigenmalkhasyan@gmail.com
urologist, MD, PhD. Department of Urology Russian Federation
Denis A Mazurenko
Urologic Clinic EMC
Email: d.a.mazurenko@gmail.com
urologist, MD, PhD. Vice Director of Urologic Clinic Russian Federation
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