INTRAPERITONEAL BUPIVACAINE FOR POSTOPERATIVE PAIN RELIEF AFTER LAPAROSCOPIC CHOLECYSTECTOMY

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Pain is defined as “an un-pleasant sensory and emotional experience associated with actual or potential tissue damage”.Laparoscopic cholecystectomy is now an established form of treatment for patients with symptomatic gallstones. Recent studies have shown that patients may experience considerable pain after laparoscopic cholecystectomy. The various methods used with variable success are NSAID’S, infiltration of wound with local anesthetics and intermittent intramuscular narcotics. In Laproscopic Cholecystectomy after removal of gall bladder from the abdominal cavity using an endobag the position of the patient was made supine and 0.25% of 10 ml bupivacaine was instilled in the gall bladder fossa under direct laparoscopic control in Group A patients while Group B patients did not receive any such solution.Group A showed less intensity of pain with time duration as compared to Group B. A descriptive analysis of the VAS pain scores was in table 1. Statistically significant stepwise decrease in pain score at 4 hrs, 8 hrs, 12 hrs and 24 hrs were found in Group A and B. Intraperitoneal bupivacaine for laparoscopic cholecystectomy in a dose of 10 ml of 0.25% rather than using a higher dose reduces pain in the initial postoperative period and also in first 24 hrs, it is easy to administer with no adverse effects and may become a routine practice for this procedure.

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Gurmeet Singh, Athar Parvez, Digamber Chaubey, Ajay Verma and K. B. Jain. (2017); INTRAPERITONEAL BUPIVACAINE FOR POSTOPERATIVE PAIN RELIEF AFTER LAPAROSCOPIC CHOLECYSTECTOMY, Int. J. of Adv. Res., 5 (02), 2607-2611, ISSN 2320-5407. DOI URL: https://dx.doi.org/10.21474/IJAR01/3449

Dr Gurmeet Singh
VIVEKANANDA POLYCLINIC & INSTITUTE OF MEDICAL SCIENCES, LUCKNOW

DOI:

Article DOI: 10.21474/IJAR01/3449      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3449

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