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Pre‐operative oral administration of morphine in day‐case gynaecological laparoscopy

The analgesic effect of morphine sulphate 10 mg by mouth given pre‐operatively on pain after gynaecological laparoscopy was studied in a randomised, prospective, double‐blind, placebo‐controlled comparison. Two groups of 56 patients were studied, one group undergoing diagnostic laparoscopy and the other laparoscopic sterilisation. All patients received a standard anaesthetic after premedication with morphine or placebo 1 h before the operation. Morphine premedication did not significantly influence postoperative pain as assessed on a visual analogue scale in either group and postoperative opioid consumption was unaffected. Premedication with morphine Wmg orally does not significantly decrease pain after day‐case gynaecological laparoscopy.