Irrigation with Bupivacaine at surgical bed for postoperative pain relief after laparoscopic cholecystectomy

Background: Laparoscopy involves insufflation of the abdomen by gas, so that the scope (usually 6-10 mm in diameter) can view the intra-abdominal contents without being in direct contact with the viscera or tissues. Surgical procedures can be carried out by instruments produced through one or more additional ports.Methods: This study was conducted in 60 patients aged 30-50 years. The patients were divided into two Groups A: 0.5 Bupivacaine, B: Saline intraperitoneal instillation; 30 patients in each group undergoing elective surgery.Results: This study was undertaken to compare the post-operative analgesic effect of 20 mL 0.5% Bupivacaine given intraperitoneally at the end of laparoscopic surgery with control 0.9% saline 20 mL at Bupivacaine group had better postoperative pain relief in the first six hours with no complications.Conclusions: 0.5% Bupivacaine irrigation at the surgical bed is effective for cholecystectomy for postoperative pain relief.

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A comparative study of intraperitoneal instillation of ketamine and magnesium sulphate for intraoperative and postoperative pain relief in patients undergoing laparoscopic cholecystectomy

MedPulse International Journal of Anesthesology ◽

10.26611/101512313 ◽

2019 ◽

Vol 12 (3) ◽

pp. 279-284

Author(s):

Vrinda Oza ◽

◽

Sujal Patel ◽

Vandana Parmar ◽

Shilpa Sarathy ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Postoperative Pain ◽

Pain Relief ◽

Comparative Study ◽

Magnesium Sulphate ◽

Postoperative Pain Relief ◽

Intraperitoneal Instillation

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EFFICACY OF INTRAPERITONEAL INSTILLATION OF 0.2% ROPIVACAINE FOR POSTOPERATIVE PAIN RELIEF AFTER LAPAROSCOPIC CHOLECYSTECTOMY

10.36106/ijsr/2126234 ◽

2021 ◽

pp. 13-15

Author(s):

Debottam Gangopadhyay ◽

Rahul Agarwal

Keyword(s):

Laparoscopic Cholecystectomy ◽

Postoperative Pain ◽

Pain Relief ◽

Pain Perception ◽

Study Drug ◽

Postoperative Pain Relief ◽

Analgesic Requirement ◽

Rescue Analgesia ◽

Intraperitoneal Instillation ◽

Study Population

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 1 down hospital costs . AIMS AND OBJECTIVES:Aim of the study is to evaluate the efcacy 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 signicant (-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.

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COMPARING THE POST-OPERATIVE ANALGESIA USING ROPIVACAINE IN LAPAROSCOPIC CHOLECYSTECTOMY BY THREE DIFFERENT METHODS-A COMPARATIVE STUDY

10.36106/ijsr/0509158 ◽

2021 ◽

pp. 16-19

Author(s):

Nimta Kishore ◽

Trilok Chand ◽

Narendra Singh Poniya ◽

Arpita Saxena

Keyword(s):

Laparoscopic Cholecystectomy ◽

Postoperative Pain ◽

Pain Relief ◽

Transversus Abdominis Plane Block ◽

Port Site ◽

Transversus Abdominis ◽

Postoperative Pain Relief ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Intraperitoneal Instillation

Introduction: Laparoscopic cholecystectomy is a minimally invasive surgical procedure for cholecystectomy. In present time local anesthesia is widely used as analgesic by various routes including port site intraincisional inlteration, transverse abdominis plane (TAP) block and intraperitoneal instillation. Aim: Comparing The Post-Operative Analgesia Using Ropivacaine in Laparoscopic Cholecystectomy by three Different Methods ; Intraperitoneal instillation, USG-guided subcostal transversus abdominis plane block and Incisional inltration at port site. Materials and methods: This study was conducted among elective general surgical patient undergoing laparoscopic cholecystectomy in S.N. Medical College, Agra and completed in the study period of 18 months. Study population was elective surgical patients posted for elective laparoscopic cholecystectomy. Patients were divided in to 3 groups: Group A- Intraperitoneal instillation, Groups B- ultrasound guided subcostal transversus abdominis plane block and Groups C- intraincisional inlteration at port site. Results: Intraincisional inltration of ropivacaine provide signicant Postoperative pain relief in comparative to USG -guided subcostal TAP block and intraperitoneal instillation with ropivacaine. Conclusion: Intraincisional inltration of ropivacaine provide signicant Postoperative pain relief and decrease post operative analgesia requirement in comparative to USG -guided subcostal TAP block and intraperitoneal instillation with ropivacaine. Shoulder tip pain incidence, postoperative nausea and vomiting incidence lower in intraincisional inltration of ropivacaine.

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