Background: Lumbar discectomy has been one of the most common surgical practices performed by neurosurgeons as the complete treatment even though recently a trend against surgery appeared since many patients still suffer from pain after surgery and are not able to return to their daily physical activities. Insufficient pain treatment increases postoperative pain and complaints and the recovery is longer.
Aim: This study aims to search if peroperative
levobupivacaine infiltration over the dorsal root can prevent postoperative
pain.
Materials and Methods: This study was performed between
February 2010 to May 2012 in the Neurosurgical Department of Adıyaman Research
and Application Hospital, in Turkey, among 120 patients who were operated on
for lumbar disc herniectomy. All the patients were followed for the postoperative
72 hours. Half of them were given peroperative levobupivacaine (2 cc) on the
related dorsal root, and the other half received serum physiologic (2 cc).
After ten minutes, the operation continued. Postoperatively, the analgesic
requirements of the patients were followed for 72 hours. The data is analyzed
with Kolmogorov-Smirnov analysis to check normal distribution. The data was
convenient (p>0.05). For the statistics, SPSS 15.0 was used. Measurable data
was analyzed with student t-test and the comparison was made with chi-square.
The data was evaluated in the confidence interval of 95% for both directions.
Results: In the study, 80 of the patients were female and 40
were males. The patients in the control group required analgesia immediately
after the operation but in the levobupivacaine group the earliest analgesic
requirement was after 4 hours, but some of the patients did not need any
analgesic even up to 50 hours.
Conclusion: Most of the patients undergoing lumbar disc
herniectomy usually suffer from significant severe back pain. This study
propose that peroperative local anesthetic infiltration has significantly
reduced postoperative analgesic requirement.
Author (s) Details
Seyho Cem Yucetas
Department of Neurosurgery, Adiyaman University Research and Education
Hospital, Adiyaman, Turkey.
Cengiz Mordeniz
Department of Anesthesiology, Medical Faculty of Namik Kemal University,
Tekirdag, Turkey.
Necati Ucler
Department of Neurosurgery, Adiyaman University Research and Education
Hospital, Adiyaman, Turkey.
Onur Baran
Department of Anesthesiology, Medical Faculty of Namik Kemal University,
Tekirdag, Turkey.
Gamze Varol
Department of Public Health, Medical Faculty of Namik Kemal University,
Tekirdag, Turkey.
Please see the book here:- https://doi.org/10.9734/bpi/acmms/v11/2580
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