Introduction : Postoperative pain is variable in intensity,character,duration and is the main factor delaying discharge of
patients undergoing day-care procedures including laparoscopy and hence adding to hospital cost and stay. Optimal
management has a potential for shortening of hospital stay and for speeding up of recovery.AIM :Comparing the effect
of port site and intraperitoneal instillation of 0.5% bupivacaine with adrenaline versus saline for post-operative
analgesia in laparoscopic cholecystectomy. To assess the need of rescue analgesics in post- operative period in both
groups.Material & Method :A comparative study to be performed on 50 cases receive 40 mls of 0.5% bupivacaine as
intraperitoneal infiltration and local infiltration of 20 mls of 0.5% bupivacaine in the port sites (5 ml infiltration in each
port) versus 50 cases receive 40 ml of normal saline intraperitoneally Discussion :Reduction in post-operative pain with
better cosmesis and early return to work have been the goals to improve cost effectiveness and patient satisfaction.
Conclusion : We conclude that instillation of local anaesthetic drug intraperitonialy & Port site local anaesthetic agent
injection has added benefits in post operative pain
A Prospective Comparative Study to Assess-Post Operative Analgesic Effect of Intraperitoneal Instillation of Bupivacaine with Dexmedetomidine to Bupivacaine with Tramadol in Patients Undergoing Laparoscopic Cholecystectomy
