Preoperative transcervical analgesia for laparoscopic sterilization with Filshie clips.A double blind randomized trial



Acta Obstet Gynecol Scand 2003; 82: 57–60. © Acta Obstet Gynecol Scand 2003

Objective. To evaluate the use of preoperative transcervical analgesia for reducing postoperative pain from laparoscopic sterilization with Filshie clips.

Design. A double blind, randomized, placebo-controlled trial.

Setting. Gynecologic day-care clinic of Vejle Hospital, Vejle, Denmark.

Sample.  Seventy-eight healthy women were attending the public hospital requesting sterilization.

Methods. Participants received bupivacaine 0.25% 20 mL or placebo normal saline 20 mL injected into the uterus, though the fallopian tubes and into the pelvis before tubal occlusion with Filshie clips.

Main outcome measures. Post-operative visual analog pain score and request for analgesia were recorded.

Results. At 30 min after clip application there was a non-significant reduction in pain-score on VAS. However, at 1, 2, 3 and 4 h median pain score on VAS was similar in both groups. Patients request for postoperative analgesia was similar in the two groups.

Conclusions. Preoperative transcervical perfusion of the uterus, fallopian tubes and into the pelvis did not reduce postoperative pain or request for analgesics after laparoscopic sterilization with Filshie clips.