INTRODUCTION: Postoperative pain management is one of most important components of adequate postoperative patient care. Poorly treated
pain contributes to patient suffering and may prevent rapid recovery and rehabilitation. Laparoscopic operative procedures have revolutionized
surgery with many advantages : a smaller and more cosmetic incision, reduced blood loss, reduced postoperative hospital stay and pain, which cut
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down hospital costs .
AIMS AND OBJECTIVES:Aim of the study is to evaluate the efcacy of intraperitoneal instillation of ropivacaine for postoperative pain relief
after laparoscopic cholecystectomy surgeries in terms of : Duration of analgesia, 24 hour postoperative analgesic requirement, Postoperative pain
assessment, Postoperative hemodynamic changes like pulse rate, blood pressure and Complications (if any).
MATERIALS AND METHODS: Study area -Command Hospital (Eastern Command), Alipore, Kolkata (operation theatre and ward).
Study population - Patients posted for Elective Laparoscopic Cholecystectomy.
Study period -Jan 2017 to June 2018
Study Time– From rst intraoperative intraperitoneal instillation of study drug to next 24 postoperative hours.
Sample Size - 80 (40 in each group)
RESULTS AND ANALYSIS: In our study, intraperitoneal instillation of Ropivacaine at the end of surgery provided analgesia for 5.54 ± 4.61 hrs.
When compared with the saline group, it was about 2.22 ± 2.93 hrs, which was found to be statistically signicant (-0.004). In this study, Injection
Tramadol was used for rescue analgesia for postoperative pain relief.
SUMMARYAND CONCLUSION: This study has a few limitations. First, eighty study population may be underpowered for the study. Second,
the surgeon performing the surgeries is not the same in every case which may alter the postoperative consequences. From this study it may be
concluded that intraperitoneal instillation of Ropivacaine is effective for postoperative pain relief after laparoscopic cholecystectomy. From this
study we also conclude that, intraperitoneal instillation of Ropivacaine is useful for postoperative pain relief for patients undergoing laparoscopic
cholecystectomy in terms of duration of analgesia, rescue analgesic requirement and pain perception.
Comparison of intra-peritoneal bupivacaine and intravenous paracetamol for postoperative pain relief after laparoscopic cholecystectomy
