Irrigation with Bupivacaine at the Surgical Bed for Postoperative Pain Relief After Laparoscopic Cholecystectomy
نویسندگان
چکیده
PURPOSE The aim of this study was to evaluate the effect of bupivacaine irrigated at the surgical bed on postoperative pain relief in laparoscopic cholecystectomy patients. METHODS This study included 60 patients undergoing elective laparoscopic cholecystectomy who were prospectively randomized into 2 groups. The placebo group (n=30) received 20cc saline without bupivacaine, installed into the gallbladder bed. The bupivacaine group (n=30) received 20cc of 0.5% bupivacaine in at the same surgical site. Pain was assessed at 0, 6, 12, and 24 hours by using a visual analog scale (VAS). RESULTS A significant difference (P=.018) was observed in pain levels between both groups at 6 hours postoperatively. The average analgesic requirement was lower in the bupivacaine group, but this did not reach statistical significance. CONCLUSIONS In our study, the use of bupivacaine irrigated over the surgical bed was an effective method for reducing pain during the first postoperative hours after laparoscopic cholecystectomy.
منابع مشابه
Intraperitoneal Hydrocortisone plus Bupivacaine administration For Pain Relief after Laparoscopic Cholecystectomy, A Comparison with Bupivacaine Alone
Introduction: shorter hospital stay and less pain in comparison to open surgery considered to be major benefits for laparoscopic cholecystectomy. We compared the effect of intraperitoneal hydrocortisone plus bupivacaine with bupivacaine alone on pain relief following laparoscopic cholecystectomy. Methods: Sixty two patients participated in this double-blind, randomized clinical trial. Pati...
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Pain is an inevitable consequence of any operation and proper attention to the source of pain and its control is needed. The problem of inadequate postoperative pain relief has been recognized for many years and has been the subject of considerable research. In the present research we attempted to study the effect of subdiaphragmatic and Gall Bladder bed administration of bupivacaine on post op...
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BACKGROUND Postoperative pain is a major complaint following laparoscopic cholecystectomy. OBJECTIVES The aim of this study was to compare the impact of intraperitoneal hydrocortisone with intraperitoneal bupivacaine on pain relief after laparoscopic cholecystectomy. PATIENTS AND METHODS In a double blind clinical trial, 63 candidates for laparoscopic cholecystectomy were randomly allocated...
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