Instillation Of 0.5% Bupivacaine Soaked Surgicel in the Gall Bladder Bed and Infiltration at Port Sites-Efficacy of Pain Relief after Laparoscopic Cholecystectomy
Journal Title: Journal of Surgery and Surgical Research - Year 2017, Vol 3, Issue 1
Abstract
Background: This study aims to evaluate the effectiveness of 0.5% bupivacaine soaked surgicel placed in the gall bladder bed and infiltration at port sites at laparoscopic cholecystectomy, in relieving pain during 1st 24 hours post procedure. Method: In this RCT, 50 patients with chronic cholecystitis were divided into two groups of 25 each. Group- A –Bupivacaine soaked surgicel kept in gall bladder bed and infiltration at trocar sites, Group-B – no local anaesthesia was used in the gall bladder bed and at trocar sites. Population was included on the basis of systemic random sampling based on the inclusion and exclusion criteria. Post operatively, the character and intensity of pain was assessed by visual analog scale (VAS) scoring for 24 hours. Result: The findings of our study showed variable intensity of parietal, visceral and shoulder pain in two groups over 24 hours post-surgery. The intensity of pain in Group-A was less than in Group-B. Conclusion: Parietal, visceral and shoulder pain were prominent after laparoscopic cholecystectomy and can be effectively controlled by 0.5% bupivacaine soaked surgicel in the gall bladder bed and infiltration at trocar sites.
Authors and Affiliations
Shabnam Nilufar, Al-Amin Md Abdullah, Mohammuddunnobi m, Talukder Rajibul Haque, Anower Raihan
Keywords
Related Articles
- EP ID EP350127
- DOI 10.17352/2455-2968.000037
- Views 51
- Downloads 0
Functional Outcome and Life Quality after Unilateral Fixed Proximally-Based Gluteoplasty for End-Stage Fecal Incontinence
Introduction: Many patients with fecal incontinence (FI) have no treatment option except diversion. Gluteoplasty can be the ultimate resort for these patients despite unsatisfactory long term functional results. Differen...
Robotic Training in General Surgery Residency: How Early Can We Begin?
Background: The increasing demand for robotics in general surgery has prompted academic institutions to train general surgery residents toward the acquisition of basic robotic skills. Our current robotic training curricu...
Scrotal emergencies-Two case reports on scrotal exploration scenarios
This case report evaluates the management of acute scrotal emergency in two similar cases with presenting complaints and different outcomes post-scrotal exploration. One case of young male discusses the eventual outcome...
Empty Nose Syndrome May Be the Chief Criminal Behind Many of the Worst Atrocities against Rhinologic Medical Staff in China
On Sep 3, 2012, several rhinology specialized medical staff members in Shenzhen Pengcheng Hospital were stabbed by a patient with blood-covered hands; on Oct 25, 2013, a chief physician of the otolaryngology department o...
One Time Surgery in Contemporary Diseases of the Abdominal Wall and Pelvis in the Elderly
Introduction: The diseases most frequently found in the elderly are E.I. (inguinal hernia)* and BPH. (Prostatic hypertrophy non-neoplastic)*. The latter causes an effect on the abdominal wall to the increase in abdominal...