EFFECT OF INTRAPERITONEAL BUPIVACAINE ON POSTOPERATIVE PAIN IN LAPAROSCOPIC GYNAECOLOGICAL SURGERY- A RANDOMISED CONTROLLED TRIAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Postoperative management of pain has always been challenging as more and more patients are undergoing minimal invasive surgery with patients discharged on day care basis. The objective of the study is to evaluate the effect of intraperitoneal infiltration of Bupivacaine over pain score and total analgesic requirement in patients undergoing gynaecological laparoscopic surgery. MATERIALS AND METHODS Two hundred and fifty women undergoing laparoscopic gynaecology surgery were randomised to receive intraperitoneal infiltration of Bupivacaine or normal saline postoperatively. Visual Analogue Score (VAS) was calculated at 1, 2, 4, 8, 12 and 24 hours of surgery. All patients were given Paracetamol infusion 1 gram as and when required in both the groups. A total dose of analgesic requirements in last 24 hours were calculated for both the groups. Since the study duration was short, we had to limit the sample size for convenience. RESULTS Patients with Bupivacaine group compared with Normal saline, there is a statistically significant less VAS score (p value < 0.005) at 1, 2, 4, 8, 12 and 24 hours of surgery. When both the groups were compared in terms of total analgesic requirements in first 24 hours, there was statistically significant (p value < 0.001) less analgesics requirement in bupivacaine group. We did not find any postoperative complication in Bupivacaine group compared to Normal saline group. CONCLUSION In laparoscopic gynaecological surgery, use of intraperitoneal Bupivacaine effectively reduces pain score and analgesic requirement in immediate postoperative period.
Authors and Affiliations
Pradipta Kumar Patel, Santosh Kumar Dora, Benudhar Pande
Keywords
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- EP ID EP411278
- DOI 10.14260/jemds/2018/276
- Views 52
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