Publication: Intraperitoneal and periportal injection of bupivacaine for pain after laparoscopic cholecystectomy
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Date
2009
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Kathmandu University
Abstract
Abstract
Purpose: to study the analgesic efficacy of intraperitoneal and periportal injection of bupivacaine following laparoscopic
cholecystectomy.
Materials and methods: 40 patients undergoing laparoscopic cholecystectomy were randomized into two groups of
20 each. Group A (study group) received 40 ml of intraperitoneal injection of 0.25% bupivacaine and 20 ml of same
concentration in 4 ports, 5 ml each at the end of surgery. Group B (control) received no treatment. Post operative patient
monitoring and pain assessment was done by another doctor blinded to the procedure using VAS score at 1,2,3,6,9 and
24 hours after surgery. Pethidine 50 mg intramuscular was given as rescue analgesic when demanded by patient within
first 24 hours.
Results: when VAS score was analyzed in the two groups, the study group had less scores compared to control group
though it was statistically not significant (p>0.05). The rescue analgesic requirement was significantly less in study
group (p<0.00).
Conclusion: Intraperitoneal and periportal injection of bupivacaine is effective in decreasing pain after laparoscopic
cholecystectomy.
Key words: Laparoscopic surgery, intraperitoneal bupivacaine, analgesia, VAS score
Description
Maharjan SK1 , Shrestha S 2
1,2 Assistant Professor, Department of Anaesthesiology, Kathmandu Medical College