Irrigation with Bupivacaine at surgical bed for postoperative pain relief after laparoscopic cholecystectomy

Ravishankar N.; Arun Kumar A. A.; Tulasi Vasudevaiah; Shivkumar S.

doi:10.18203/2349-2902.isj20181144

Authors

Ravishankar N. Department of General Surgery, JSS Medical college and Hospital, Mysore, Karnataka, India
Arun Kumar A. A. Department of General Surgery, JSS Medical college and Hospital, Mysore, Karnataka, India
Tulasi Vasudevaiah Department of General Surgery, JSS Medical college and Hospital, Mysore, Karnataka, India
Shivkumar S. Department of General Surgery, JSS Medical college and Hospital, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20181144

Keywords:

Anaesthesia, Bupivacaine, Intraperitoneal, Saline

Abstract

Background: Laparoscopy involves insufflation of the abdomen by gas, so that the scope (usually 6-10 mm in diameter) can view the intra-abdominal contents without being in direct contact with the viscera or tissues. Surgical procedures can be carried out by instruments produced through one or more additional ports.

Methods: This study was conducted in 60 patients aged 30-50 years. The patients were divided into two Groups A: 0.5 Bupivacaine, B: Saline intraperitoneal instillation; 30 patients in each group undergoing elective surgery.

Results: This study was undertaken to compare the post-operative analgesic effect of 20 mL 0.5% Bupivacaine given intraperitoneally at the end of laparoscopic surgery with control 0.9% saline 20 mL at Bupivacaine group had better postoperative pain relief in the first six hours with no complications.

Conclusions: 0.5% Bupivacaine irrigation at the surgical bed is effective for cholecystectomy for postoperative pain relief.

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