Does Preincisional Infiltration with @entity1341 Reduce XXXX in Laparoscopic Bariatric Surgery?

@entity1 @entity28 @entity1425 @entity1337 @entity1341 @entity158 @entity282
BACKGROUND: Current evidence suggests that local anesthetic wound infiltration should be employed as part of multimodal @entity282 management. There is scarce data concerning the benefits of this anesthetic modality in laparoscopic weight loss surgery. Therefore, we analyzed the influence of trocar site infiltration with @entity1341 on the management of @entity282 in laparoscopic bariatric surgery. METHODS: This retrospective randomized study included 47 @entity1 undergoing primary @entity28 surgery between January and September 2014. Laparoscopic gastric bypass was performed in 39 cases and sleeve gastrectomy in 8 cases. @entity1 were stratified into two groups depending on whether preincisional infiltration with @entity1341 and @entity1425 was performed (study group, 27 @entity1 ) or not (control group, 20 @entity1 ). Visual analogue scale (VAS), International @entity158 Outcomes questionnaire, and rescue medication records were reviewed to assess @entity282 . RESULTS: VAS scores in the study group and sleeve gastrectomy group were lower than those in the control and gastric bypass groups in the first 4  h postoperatively without reaching statistical significance (p   >   0.05). VAS scores did not differ in any other period of time. No statistically significant differences in @entity158 perception were registered according to the @entity1 's @entity158 outcomes questionnaire or the need for rescue medication. CONCLUSIONS: The present study did not conclusively prove the efficacy of @entity1341 infiltration by any of the three evaluation methods analyzed. Nevertheless, preincisional infiltration provides good level of comfort in the immediate postoperative period when @entity1337 is most urgent.
