대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)
- 제16권2호
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- Pages.182-186
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- 2000
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- 1229-5183(pISSN)
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- 2586-2553(eISSN)
최소침습 갑상선절제술에서 피부절개전 Ketororac과 Bupivacaine 국소주사에 의한 진통효과
The Efficacy of Preincisional Surgical Site Infiltration of Ketorolac & Bupivacain in Minimally Invasive Thyroid Surgery: A Double Blind Study
- 정웅윤 (연세대학교 의과대학 외과학교실) ;
- 김태진 (연세대학교 의과대학 외과학교실) ;
- 이해경 (성균관대학교 의과대학 삼성제일병원 일반외과) ;
- 박정수 (연세대학교 의과대학 외과학교실)
- Chung Woung-Youn (Department of Surgery, Yonsei University College of Medicine) ;
- Kim Tae-Jin (Department of Surgery, Yonsei University College of Medicine) ;
- Lee Hae-Kyung (Department of Surgery, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine) ;
- Park Cheong-Soo (Department of Surgery, Yonsei University College of Medicine)
- 발행 : 2000.11.01
초록
The reduction of the postoperative wound pain has been a concern in recent surgery, especially in various types of minimally-invasive surgeries. This study was performed to evaluate the postoperative analgesic effect of the preincisional local anesthesia with the mixture of ketorolac(Tarasyn) and bupivacaine to the surgical site in minimally-invasive thyroid surgeries. Of 491 patients who were scheduled for minimally-invasive thyroid surgeries between October 1999 and July 2000, 244 were randomly assigned to receive a mixture of ketorolac tromethamine 15mg(0.5ml) and 0.25% bupivacaine 3ml via surgical site infiltration 3 minutes prior to the skin incision. The outcomes of these patients were compared to those of the 247 controls. Total number of patients in need of post-operative analgesic requirements(n=39, 16.0%), total dose of postoperative analgesics used(