Ann Surg Treat Res.  2016 Oct;91(4):202-206. 10.4174/astr.2016.91.4.202.

Analgesic efficacy of ropivacaine wound infusion after laparoscopic colorectal surgery

• Oh BY
• Park YA
• Koo HY
• Yun SH
• Kim HC
• Lee WY
• Cho J
• Sim WS
• Cho YB

• KMID: 2354328
• DOI: http://doi.org/10.4174/astr.2016.91.4.202

Abstract

PURPOSE
Local anesthetic wound infusion has been previously investigated in postoperative pain management. However, a limited number of studies have evaluated its use in laparoscopic colorectal surgery. This study aims to evaluate whether ropivacaine wound infusion is effective for postoperative pain management after laparoscopic surgery in patients with colorectal cancer.
METHODS
This prospective study included 184 patients who underwent laparoscopic surgery for colorectal cancer between July 2012 and June 2013. The patients were grouped as the combined group (intravenous patient-controlled analgesia [IV-PCA] plus continuous wound infusion with ropivacaine, n = 92) and the PCA group (IV-PCA only, n = 92). Efficacy and safety were assessed in terms of numeric rating scale (NRS) pain score, opioid consumption, postoperative recovery, and complications.
RESULTS
The total quantity of PCA fentanyl was significantly less in the combined group than in the PCA group (P < 0.001). The NRS score of the combined group was not higher than in the PCA group, despite less opioid consumption. There were no differences between groups for postoperative recovery and most complications, including wound complications. However, the rate of nausea and vomiting was significantly lower in the combined group (P = 0.022).
CONCLUSION
Ropivacaine wound infusion significantly reduced postoperative opioid requirements and the rate of nausea/vomiting. This study showed clinical efficacy of ropivacaine wound infusion for postoperative pain control in colorectal cancer patients undergoing laparoscopic surgery.

Keyword

Laparoscopy; Postoperative pain; Local anesthetics; Ropivacaine

MeSH Terms

Analgesia, Patient-Controlled
Anesthetics, Local
Colorectal Neoplasms
Colorectal Surgery*
Fentanyl
Humans
Laparoscopy
Nausea
Pain, Postoperative
Passive Cutaneous Anaphylaxis
Prospective Studies
Treatment Outcome
Vomiting
Wounds and Injuries*
Anesthetics, Local
Fentanyl

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