{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T09:55:36Z","timestamp":1760608536817},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,12,30]],"date-time":"2008-12-30T00:00:00Z","timestamp":1230595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The reported high incidence of 30\u201360% postoperative pain after an elective day surgical orchidopexy is undesirable. We evaluated the efficacy of our analgesic regimen for unilateral orchidopexy in preschool children performed as a day surgical procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between January 2004 and December 2006, 247 children (mean age: 3.3 \u00b1 1.6 years) underwent a unilateral orchidopexy as a day surgical procedure. They were prospectively analyzed for postoperative pain during a period of 48 h by using the Visual Analogue Scale (VAS). After standardized general anesthesia, all children had a 0.25% levo\u2010bupivacaine hydrochloride ilio\u2010inguinal block and a rectal diclofenac sodium suppository. Orchidopexy was performed through transverse inguinal and scrotal incisions. The wounds were infiltrated with 0.25% levo\u2010bupivacaine hydrochloride at the end of the operation. Postoperatively acetaminophen and ibuprofen were given orally at regular intervals for 48 h.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On first assessment in the recovery room, 148 out of 247 (60%) patients were pain\u2010free, and 99 of 247 (40%) patients had pain: VAS score ranged from 3 to 10. By 3 h, 27 (11%) had mild\u2010to\u2010moderate pain, with VAS scores between 3 and 7. All children were discharged home at 4 h with no pain. At home, 95% were pain\u2010free at 10 h and 97% by 24 h, with a declining pain score. All children were pain\u2010free at 32, 40, and 48 h. Pain scores were unrelated to the duration of surgery (<jats:italic>r<\/jats:italic><jats:sub>s<\/jats:sub> = 0.54).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinical effectiveness of our institution analgesic regime justifies the performance of unilateral orchidopexy as a day\u2010case procedure.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9847-7","type":"journal-article","created":{"date-parts":[[2009,1,5]],"date-time":"2009-01-05T19:35:48Z","timestamp":1231184148000},"page":"603-606","source":"Crossref","is-referenced-by-count":6,"title":["Pain Management for Unilateral Orchidopexy in Children: An Effective Regimen"],"prefix":"10.1002","volume":"33","author":[{"given":"A.","family":"Saeed","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road, P.O. Box 267 CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. R.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road, P.O. Box 267 CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Lee","sequence":"additional","affiliation":[{"name":"Paediatric Day Surgical Unit, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Aslam","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road, P.O. Box 267 CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Brain","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road, P.O. Box 267 CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. P. L.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road, P.O. Box 267 CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust CB2 0QQ Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Samuel","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Addenbrooke\u2019s Hospital Cambridge University Hospitals NHS Trust Hills Road, P.O. 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