[PDF][PDF] INTRAINCISIONAL VS INTRAPERITONEAL INFILTRATION OF LOCAL ANAESTHETIC FOR CONTROLLING POST-LAPAROSCOPIC CHOLECYSTECTOMY …
K Kadian, DKK Asha, DA Shaunak Mitra, A Dabas - academia.edu
K Kadian, DKK Asha, DA Shaunak Mitra, A Dabas
academia.eduBackground: The study was designed to compare the effect of intraincisional vs
intraperitoneal infiltration of levobupivacaine 0.25% on post-operative pain in laparoscopic
cholecystectomy. Methods: This randomised controlled study was carried out on 189
patients who underwent laparoscopic cholecystectomy. Group 1 was the control group and
did not receive either intraperitoneal or intraincisional levobupivacaine. Group 2 was
assigned to receive local infiltration (intraincisional) of 20 ml solution of levobupivacaine …
intraperitoneal infiltration of levobupivacaine 0.25% on post-operative pain in laparoscopic
cholecystectomy. Methods: This randomised controlled study was carried out on 189
patients who underwent laparoscopic cholecystectomy. Group 1 was the control group and
did not receive either intraperitoneal or intraincisional levobupivacaine. Group 2 was
assigned to receive local infiltration (intraincisional) of 20 ml solution of levobupivacaine …
Abstract
Background: The study was designed to compare the effect of intraincisional vs intraperitoneal infiltration of levobupivacaine 0.25% on post-operative pain in laparoscopic cholecystectomy. Methods: This randomised controlled study was carried out on 189 patients who underwent laparoscopic cholecystectomy. Group 1 was the control group and did not receive either intraperitoneal or intraincisional levobupivacaine. Group 2 was assigned to receive local infiltration (intraincisional) of 20 ml solution of levobupivacaine 0.25%, while Group 3 received 20 ml solution of levobupivacaine 0.25% intraperitoneally. Post-operative pain was recorded for 24 hours post-operatively Results: Post-operative abdominal pain was significantly lower with intraincisional infiltration of levobupivacaine 0.25% in group 2. This difference was reported from 30 minutes till 24 hours post-operatively. Right shoulder pain showed significantly lower incidence in group 2 and group 3 compared to control group. Although statistically insignificant, shoulder pain was less in group 3 than group 2.
Conclusion: Intraincisional infiltration of levobupivacaine is more effective than intraperitoneal route in controlling postoperative abdominal pain. It decreases the need for rescue analgesia.
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