The Effect of Subcutaneous and Intraperitoneal Anesthesia on Post Laparoscopic Pain

KBC Split

Status: Completed

Conditions: Postoperative Pain; Varicocele

Treatments: Drug: 0.5% levobupivacaine; Drug: 2% Lidocaine

Study type: Interventional

Funder types: Other

Identifiers

NCT05034406

500-03/20-01/09

Details and patient eligibility

About

Aim of this study is to examine the effects of subcutaneously applied local anesthetics at trocar site in combination with intraoperative intraperitoneal analgesia on duration and character of pain in pediatric patients undergoing laparoscopic varicocelectomy.

Enrollment: 60 patients

Sex: All

Ages: 12 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• pediatric patients with varicocele who underwent laparoscopic varicocelectomy
• pediatric patients whose parents or guardians gave informed consent

Exclusion criteria

• patients who received open or microsurgical varicocelectomy
• pediatric patients who underwent conversion to open procedure
• pediatric patients with chronic, metabolic and endocrine diseases
• pediatric patients with systemic infections

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Lidocaine group

Experimental group

Description:

A total amount of 6 mL of 2% lidocaine was injected at the three trocar insertion sites (2 mL at each insertion site) prior to incision and 10 mL of 2% lidocaine was injected at the end of procedure, under the direct visualization of laparoscope, below and around the defect of the peritoneum at the site of varicocele.

Treatment:

Drug: 2% Lidocaine

Levobupivacaine

Experimental group

Description:

Total amount of 6 mL of 0.5% levobupivacaine was injected at the three trocar insertion sites (2 mL at each) prior to incision and 10 mL of 2% lidocaine was injected at the end of procedure, under the direct visualization of laparoscope, below and around the defect of the peritoneum at the site of varicocele.

Treatment:

Drug: 0.5% levobupivacaine

Control group

No Intervention group

Description:

No local or peritoneal administration of any local anesthetic prior, during and after the surgical procedure