The purpose of this study is to compare postoperative pain following COX-2 and prostanoids expression in women who underwent laparoscopic surgery for female genital disease in order to evaluate the effect of COX-2 on local inflammation, COX-2 and prostanoids expression followed by exposure time to carbon dioxide(CO2) gas, and degree of postoperative pain.
In women who underwent laparoscopic surgery for female genital disease, the effect of COX-2 on local inflammation was assessed by randomization, using the COX-2 inhibitor celecoxib and placebo, comparative evaluation of expression of COX-2 and prostanoids by pre/postoperative peritoneal biopsy and postoperative pain depending on gas exposure time
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Celebrex 200mg/1cap 2 tablets, take medication an hour before surgery
Ramnos 250mg/1cap 2 tablets, take medication an hour before surgery
Preoperative peritoneal biopsy (1x1cm sized peritoneal tissue)
Seoul National University Hospital
Seoul, South Korea
RECRUITINGChange of biomarkers expression according to exposure to CO2 gas
Peritoneal biopsy and real-time polymerase chain reaction(RT-PCR), Immunohistochemistry of Biomarkers (COX-2, PGE2, PGF2, PGI2, TXA2)
Time frame: Peritoneal biopsy will be done twice (intraoperative, at right after trocar insertion and right before trocar removal, an average of 2-3hours)
Visual analogue scale(VAS) score
Degree of postoperative pain (No pain : 0 / Moderate pain : 5 / Unbearable pain : 10)
Time frame: every six hours for 48 hours
Numbers of rescue analgesia
Frequency of additional pain killer (Tramadol 50mg, Ketorolac 2mg/kg)
Time frame: From postoperation state to discharge (up to 2 days)
Postoperative complication
nausea, vomiting, etc.
Time frame: From postoperation state to discharge (up to 2 days)
Duration of hospitalization
duration of hospitalization
Time frame: From postoperation state to discharge (up to 2 days)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Single-port laparoscopic surgery with CO2 gas
Postoperative peritoneal biopsy (1x1cm sized peritoneal tissue)