Effect of local anesthetic instillation intraperitoneally on post-op pain relief after laparoscopic cholecystectomy
Journal Title: Indian Journal of Clinical Anatomy and Physiology - Year 2016, Vol 3, Issue 3
Abstract
Background: To determine the effect of local anesthetic intraperitonel instillation on post-op pain relief after laparoscopic cholecystectomy. Methods: In this randomized controlled trial 64 patients, diagnosed as having gall-stones, were divided into 2 groups for laparoscopic cholecystectomy. In Group A Intraperitoneal irrigation of the diaphragmatic surface and gallbladder fossa was done with 0.5% bupivacaine, while in Group B no drug was used intraperitoneally. Results: Out of 32 patients enrolled as bupivacaine group, 27 were female and 5 were male patients with average age of 46.12 years, whereas in control group, there were 28 female and 04 male patients in a total of 32 patients, and the avrage age was 45.36 years. Mean VAS scores in bupivacaine group at 8, 16 and 24 hrs were 3.875, 2.5625 and 0.75 respectively, while they were 6.50, 3.25 and 0.875 in controls at 8, 16 and 24hrs respectively. VAS scores tended to be higher in females. Need for post-op analgesia in 1st 8hrs & 1st 16hrs was more in the controls(87.50% & 56.25% respectively). The need for post-op analgesia at 24hrs after surgery was almost equal in both groups. Post-op pain relief in 1st 8hrs was better in the bupivacaine group i.e. 31.25% vs. 12.5%. Conclusion: The early post-op VAS scores and pain intensity after 8hrs & 16hrs is decreased with the use of intra-peritoneal instillation of injection Bupivacaine, but in long term it offers no added benefit to the post-operative pain relief and does not decrease the need for analgesia post-operatively.
Authors and Affiliations
Neeraj Kumar Banoria, Surya Prakash, Shaily Shaily, Om Kumar Sharma
Keywords
Related Articles
- EP ID EP242730
- DOI -
- Views 80
- Downloads 0
Prevalence of anencephaly associated anomalies
Introduction Defective closure of rostral pore of neural tube leads to anencephaly Folic acid deficiency is most common cause anencephaly In most of the cases of Anencephaly is associated with other systemic anomaliesObj...
Effectiveness of educational card games as a supplementary educational tool in academic performance
Background: Traditional lecture delivery neither helps the students in improving critical thinking nor in retaining the learned material for longer period. Educational card games helps the students to understand the basi...
Effect of Testosterone and Estrogen Ratio - An indicator of Benign Prostatic Hyperplasia (BPH)
Background: Benign prostatic hyperplasia (BPH) is one of the most common disease and major cause of morbidity in elderly men. Prostatomegaly often used interchangeably with BPH, is a prominent feature of the disease. Alt...
An anatomical study on types of calcaneal facets on talus and co relation between squatting facets and angles of neck
Introduction Talus is a short compact bone with muscular attachments Its head and body are oriented in specific manner Thus it is subjected to modifications due to change of direction of forces by adapting different post...
Cortical generators of normal electroencephalographic waveforms: A literature review
Introduction EEG is a useful noninvasive safe technique to study the electrical activity of brain in various physiological and pathological conditions like alertness sleep seizure activity Normal brain rhythms the electr...