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 inlteration, 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 inltration 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 inlteration at port site.
Results: Intraincisional inltration of ropivacaine provide signicant Postoperative pain relief in comparative to USG -guided subcostal TAP
block and intraperitoneal instillation with ropivacaine.
Conclusion: Intraincisional inltration of ropivacaine provide signicant 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 inltration of ropivacaine.
Comparison of Pain Relief By Placing Regenerated Oxidized Cellulose Sheet Soaked in Bupivacaine And Port Site Infiltration With Bupivacaine Post-Laparoscopic Cholecystectomy: A Randomized Control Trial