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A Comparison Between Preincisional and Postincisional Lidocaine Infiltration and Postoperative Pain
Abstract
We conducted a randomized, double-blind trial to compare the efficacy of preincisional and postincisional wound infiltration with 1% lidocaine (40 mL) on the postoperative pain of 37 patients scheduled for elective inguinal herniotomy. The demand for additional postoperative analgesics occurred earlier in those who received lidocaine infiltration after incision (165 min) than in those who received preincisional lidocaine (225 min, P less than 0.05). The preincisional lidocaine infiltration group also had fewer patients requiring supplemental analgesics (58%) than the postincisional group (94%) (P less than 0.05). We conclude that preincisional infiltration of the surgical wound with lidocaine is a more effective method of providing postoperative analgesia than is postincisional infiltration.
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Citations
Cited by
Coderre, T. J., Katz, J., Vaccarino, A. L., & Melzack, R. (1993) · Pain · doi:10.1016/0304-3959(93)90161-h · Cited by 1,966
The Changing Role of Non-Opioid Analgesic Techniques in the Management of Postoperative Pain
White, P. F. (2005) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000177099.28914.a7 · Cited by 527
Preoperative morphine pre-empts postoperative pain
Richmond, C. E., Bromley, L. M., & Woolf, C. J. (1993) · The Lancet · doi:10.1016/0140-6736(93)91284-s · Cited by 261
Metadata
- Authors
- Ejlersen, E., Andersen, H. B., Eliasen, K., & Mogensen, T.
- Venue
- Anesthesia & Analgesia
- Published
- 1992-04
- Volume
- 74
- Issue
- 4
- Pages
- 495???498
- ISSN
- 0003-2999 (ISSN-L)
- OpenAlex
- W2068653448
- Cited by
- 285
- References
- 0
- FWCI
- 24.43
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: A Comparison Between Preincisional and Postincisional Lidocaine Infiltration and Postoperative Pain. https://app.cochat.ai/papers/10.1213/00000539-199204000-00004
- The paper
- Ejlersen, E., Andersen, H. B., Eliasen, K., & Mogensen, T. (1992). A Comparison Between Preincisional and Postincisional Lidocaine Infiltration and Postoperative Pain. Anesthesia & Analgesia. https://doi.org/10.1213/00000539-199204000-00004
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
