Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya
Objective: To observe the effects of ropivacain peritubal infiltration in reducing postoperative pain and analgesic requirements postoperatively in patients underwent percutaneous nephrolithotomy (PNL). Material & method: Double blind randomized controlled trial on 32 patients with renal stone w...
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The Indonesian Urological Association
2018
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Online Access: | http://repository.unair.ac.id/99136/1/Comparison%20of%20peritubal%20infiltration%20of%20ropivacain%20and%20Placebo%20in%20percutaneous%20nephrolitholapaxy%20for%20post%20operative%20analgesia%20at%20soetomo%20hospital%20surabaya.pdf http://repository.unair.ac.id/99136/2/Comparison%20of%20Peritubal.pdf http://repository.unair.ac.id/99136/3/Comparison%20of%20peritubal%20infiltration%20of%20ropivacain%20and%20Placebo%20in%20percutaneous%20nephrolitholapaxy%20for%20post%20operative%20analgesia%20at%20soetomo%20hospital%20surabaya.pdf http://repository.unair.ac.id/99136/ http://juri.urologi.or.id/juri/article/view/467 https://doi.org/10.32421/juri.v25i2.467 |
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id-langga.991362020-09-21T13:21:33Z http://repository.unair.ac.id/99136/ Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya Arley Sadra Telussa Dedi Susila Lukman Hakim Doddy M. Soebadi R Medicine (General) RC870-923 Diseases of the genitourinary system. Urology Objective: To observe the effects of ropivacain peritubal infiltration in reducing postoperative pain and analgesic requirements postoperatively in patients underwent percutaneous nephrolithotomy (PNL). Material & method: Double blind randomized controlled trial on 32 patients with renal stone who underwent PNL at Soetomo General Hospital Surabaya from February until August 2017, divided into 2 groups. Experimental group (A) who received peritubal infiltration of ropivacain pre-operative, and control (placebo) group (B) Evaluation using Wong Baker pain score 2 hour post operation, time from operation until first rescue analgesia, and total analgesia given in first 24 hours. Result: Mean age was 51.81 ± 9.13 and 49.31 ± 10.53 years in group A and B respectively. Mean operation time 49.31 ± 10.53 and 89.69 ± 17.74 hours in group A and B respectively. There was no significant difference in stone complexity, nephrostomy placement and stenting between two groups. There was no significant difference of Wong Baker pain score 2 hours post operation between group A and B (p 0.72). There was no significant difference in total analgesia in the first 24 hours between group A and B (p 0.48). The time of first rescue analgesia demand was significantly longer in the experimental group (p 0.00). Conclusion: Peritubal infiltration of ropivacain in percutaneous nephrolitholapaxy is safe and effective to prolong the need of first rescue analgesia in post operative pain management which result in patients convenience. The Indonesian Urological Association 2018 Article PeerReviewed text en http://repository.unair.ac.id/99136/1/Comparison%20of%20peritubal%20infiltration%20of%20ropivacain%20and%20Placebo%20in%20percutaneous%20nephrolitholapaxy%20for%20post%20operative%20analgesia%20at%20soetomo%20hospital%20surabaya.pdf text en http://repository.unair.ac.id/99136/2/Comparison%20of%20Peritubal.pdf text en http://repository.unair.ac.id/99136/3/Comparison%20of%20peritubal%20infiltration%20of%20ropivacain%20and%20Placebo%20in%20percutaneous%20nephrolitholapaxy%20for%20post%20operative%20analgesia%20at%20soetomo%20hospital%20surabaya.pdf Arley Sadra Telussa and Dedi Susila and Lukman Hakim and Doddy M. Soebadi (2018) Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya. Indonesian Journal of Urology, 25 (1). pp. 157-161. ISSN 0853-442X http://juri.urologi.or.id/juri/article/view/467 https://doi.org/10.32421/juri.v25i2.467 |
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R Medicine (General) RC870-923 Diseases of the genitourinary system. Urology Arley Sadra Telussa Dedi Susila Lukman Hakim Doddy M. Soebadi Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya |
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Objective: To observe the effects of ropivacain peritubal infiltration in reducing postoperative pain and analgesic requirements postoperatively in patients underwent percutaneous nephrolithotomy (PNL). Material & method: Double blind randomized controlled trial on 32 patients with renal stone who underwent PNL at Soetomo General Hospital Surabaya from February until August 2017, divided into 2 groups. Experimental group (A) who received peritubal infiltration of ropivacain pre-operative, and control (placebo) group (B) Evaluation using Wong Baker pain score 2 hour post operation, time from operation until first rescue analgesia, and total analgesia given in first 24 hours. Result: Mean age was 51.81 ± 9.13 and 49.31 ± 10.53 years in group A and B respectively. Mean operation time 49.31 ± 10.53 and 89.69 ± 17.74 hours in group A and B respectively. There was no significant difference in stone complexity, nephrostomy placement and stenting between two groups. There was no significant difference of Wong Baker pain score 2 hours post operation between group A and B (p 0.72). There was no significant difference in total analgesia in the first 24 hours between group A and B (p 0.48). The time of first rescue analgesia demand was significantly longer in the experimental group (p 0.00). Conclusion: Peritubal infiltration of ropivacain in percutaneous nephrolitholapaxy is safe and effective to prolong the need of first rescue analgesia in post operative pain management which result in patients convenience. |
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Article PeerReviewed |
author |
Arley Sadra Telussa Dedi Susila Lukman Hakim Doddy M. Soebadi |
author_facet |
Arley Sadra Telussa Dedi Susila Lukman Hakim Doddy M. Soebadi |
author_sort |
Arley Sadra Telussa |
title |
Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya |
title_short |
Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya |
title_full |
Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya |
title_fullStr |
Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya |
title_full_unstemmed |
Comparison of Periturbal Infiltration of Ropivacain and Placebo in Percutaneous Nephrolitholapaxy for post operative analgesia at Soetomo Hospital Surabaya |
title_sort |
comparison of periturbal infiltration of ropivacain and placebo in percutaneous nephrolitholapaxy for post operative analgesia at soetomo hospital surabaya |
publisher |
The Indonesian Urological Association |
publishDate |
2018 |
url |
http://repository.unair.ac.id/99136/1/Comparison%20of%20peritubal%20infiltration%20of%20ropivacain%20and%20Placebo%20in%20percutaneous%20nephrolitholapaxy%20for%20post%20operative%20analgesia%20at%20soetomo%20hospital%20surabaya.pdf http://repository.unair.ac.id/99136/2/Comparison%20of%20Peritubal.pdf http://repository.unair.ac.id/99136/3/Comparison%20of%20peritubal%20infiltration%20of%20ropivacain%20and%20Placebo%20in%20percutaneous%20nephrolitholapaxy%20for%20post%20operative%20analgesia%20at%20soetomo%20hospital%20surabaya.pdf http://repository.unair.ac.id/99136/ http://juri.urologi.or.id/juri/article/view/467 https://doi.org/10.32421/juri.v25i2.467 |
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