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Randomized double-blind trial of short- vs long-acting analgesia at the sacrospinous ligament

International Urogynecology Journal Sep 10, 2018

Propst K, et al. - Given that pain control is a vital part of postoperative care, researchers evaluated using long-acting local anesthesia vs short-acting local anesthesia at the sacrospinous ligament for decreasing postoperative pain in patients undergoing sacrospinous ligament fixation. In this randomized trial, women ≥ 18 years old undergoing sacrospinous ligament fixation to treat pelvic organ prolapse were randomized 1:1 to either lidocaine arm or to liposomal bupivacaine arm. As per outcomes, no benefit of using long-acting local analgesia at the sacrospinous ligament at the time of sacrospinous ligament fixation over short-acting local analgesia was evident.

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