KMID : 1143220220650060552
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Obstetrics & Gynecology Science 2022 Volume.65 No. 6 p.552 ~ p.559
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The effect of diluted ropivacaine in distending fluid on cramping pain after hysteroscopic surgeries: a randomized clinical trial study
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Tahermanesh Kobra
Kashi Abolfazl Mehdizadeh Ajdary Marziyeh Rokhgireh Samaneh Mohseni Masood Chaichian Shahla Ahmadi Maryam
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Abstract
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Objective: The effect of ropivacaine on postoperative hysteroscopy has not yet been evaluated; this study investigated the effect of diluted ropivacaine in distending media during hysteroscopy on postoperative cramping pain.
Methods: This double-blind randomized clinical trial was conducted on 60 women who underwent hysteroscopy at a tertiary hospital. Normal saline was used as the distending fluid in both groups. The intervention group received 10 mL of 2% ropivacaine in only one bottle of 1,000 mL normal saline as a distending fluid, while the control group received 10 mL of normal saline in 1,000 mL normal saline during hysteroscopy. Patients¡¯ pain scores were evaluated before hysteroscopy and at 2, 6, 12, 24, and 48 hours after hysteroscopy.
Results: Based on the results, the pain measured by visual analog scale (VAS) score was significant at 6 and 12 hours after the intervention was significantly lower than that in the ropivacaine group (3.03¡¾1.57 vs. 4¡¾1.49, P=0.02 at 6 hours and 1.28¡¾1.36 vs. 2.4¡¾1.43, P=0.003 at 12 hours). There were no significant differences in the VAS scores at 2, 24, and 48 hours after the intervention between the two groups.
Conclusion: Ropivacaine in the distending fluid during hysteroscopy is associated with a significant reduction in pain within a few hours after hysteroscopy with no remarkable adverse effects.
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KEYWORD
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Ropivacaine, Hystroscopy, Post operative pain
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