Analgesic treatment in laparoscopic gastric bypass surgery: A systematic review of randomized trials

Lars P.H. Andersen*, Mads U. Werner, Jacob Rosenberg, Ismail Gögenur

*Corresponding author af dette arbejde

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

    Abstract

    This review aimed to present an overview of the randomized controlled trials investigating analgesic regimens used in laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery. Literature search was performed in PubMed and EMBASE databases in August 2013 in accordance to PRISMA guidelines. The literature search identified nine studies eligible for inclusion. The administration of nonsteroidal antiinflammatory drugs, local anesthetics (intraperitoneally or subfascially/subcutaneously), transversus abdominis plane block, dexmedetomidine, and ketamine may improve analgesia compared to placebo/controls in LRYGB. None of the studies incorporated multimodal procedure-specific analgesic regimens. The Oxford quality scoring system scores indicated a generally limited methodological quality of the included studies. This review documents a need for high-quality, procedure-specific literature concerning analgesic treatment in LRYGB surgery.

    OriginalsprogEngelsk
    Sider (fra-til)462-470
    Antal sider9
    TidsskriftObesity Surgery
    Vol/bind24
    Udgave nummer3
    DOI
    StatusUdgivet - mar. 2014

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