The efficacy of peritubal analgesic infiltration in XXXX following percutaneous nephrolithotomy - A prospective randomized controlled study.

@entity1 @entity282 @entity158 @entity1286
OBJECTIVE: To study the efficacy of peritubal infiltration in @entity282 following percutaneous nephrolithotomy in general PCNL @entity1 and PCNL @entity1 with supracostal renal access. @entity1 AND METHODS: A total of 105 PCNL @entity1 were randomized into two groups, 53 @entity1 receiving peritubal analgesic infiltration (study group) and 52 @entity1 as the control group. Of these @entity1 , supracostal access was performed in 22 @entity1 of study group and 23 @entity1 of control group. The study group received peritubal injection with 10mL of bupivacain. @entity282 as the primary outcome was assessed by using visual analogue scale at 1, 4, 12, 24 and 48 hours postoperatively. The secondary outcomes were the total postoperative @entity1286 usage in 24 hours and time of the first analgesic demand. RESULTS: The average VAS @entity158 at 1 and 4 hours after the operation in the study group were significant lower in the control group (P <= 0.001 and 0.026). Doses of @entity1286 usage for controlling @entity282 and the first analgesic demand were significantly lower and longer in study group. Among @entity1 submitted to supracostal access, the average VAS @entity158 at 1 hour after operation in the study group was lower (P=0.018). Doses of @entity1286 usage for controlling @entity282 also was lower in the study group (P=0.012). CONCLUSION: The peritubal local anesthetic infiltration is effective in alleviating immediate @entity282 after percutaneous nephrolithotomy even with supracostal access.
