OBJECTIVE Various research programmes have shown that intraoperative infusion of remifentanil has been associated with postoperative hyperalgesia. Previous studies have demonstrated that low-dose ketamine can inhibit central sensitisation and prevent opioid-induced hyperalgesia (OIH). However, the optimal ketamine dose to prevent OIH has not been determined. In the present study we aimed to det...

conclusions no correlation existed between cefazolin prophylaxis and postoperative infections in elective laparoscopic cholecystectomy patients. there may be an increased risk of infection in patients with previous cholecystitis or endoscopic retrograde cholangiopancreatography. in addition, there was an increased risk of postoperative infection in patients with gallbladder rupture and suction ...

conclusions intraperitoneal instillation of ropivacaine is more effective than placebo instillation at early postoperative hours in reducing postoperative abdominal pain after laparoscopic cholecystectomy. results abdominal pain is worse during the first 24 hours after laparoscopic cholecystectomy. after 6 and 12 hours abdominal pain was significantly less in group a compared to group b (p < 0....

CONTEXT Laparoscopic cholecystectomy has become the most widely used treatment for gallbladder disease. In HMO, Medicare, and fee-for-service settings, cholecystectomy rates increased 28% to 59% after introduction of laparoscopic cholecystectomy. OBJECTIVE To investigate the impact of the introduction of laparoscopic cholecystectomy on cholecystectomy rates and the operative mortality rate in...

background port site complications following elective surgery are rare and port site infections remain the most common short long term complications. objectives the study was conducted to analyze port site complications occurring in patients undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis. patients and methods ninety patients undergoing laparoscopic cholecystectomy were r...