A prospective observational study: combined irrigation of bupivacaine at the gallbladder fossa with infiltration at port site for postoperative pain relief after laparoscopic cholecystectomy

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dc.contributor.authorPaliwal, Palaken_US
dc.contributor.authorHuda, Tanweerulen_US
dc.contributor.authorAnand, Krishnananden_US
dc.contributor.authorShivani, Manishen_US
dc.contributor.authorMishra, Navneeten_US
dc.date.accessioned2020-11-18T10:05:28Z
dc.date.available2020-11-18T10:05:28Z
dc.date.issued2020-10
dc.description.abstractBackground: Laparoscopic cholecystectomy is a well-established procedure for gallbladder disease. Pain in laparoscopic cholecystectomy is associated with multiple factors: somatic, visceral, and phrenic nerve irritation. Effective analgesic support should, therefore, be a multimodal approach following laparoscopic surgery for better patient compliance.Methods: A prospective, randomized observational study was undertaken at a tertiary research center for a period of two years (2018-2020). 160 patients undergoing laparoscopic cholecystectomy were chosen and randomized using a computer program into 2 groups. No infiltration was given in the control population. The study group was irrigated with a 0.5% bupivacaine solution (20cc in 30 ml normal saline).Results: The bupivacaine group required fewer analgesics in comparison to the control faction, with less pain at 6 hrs. The timing of oral intake and ambulation were comparable in both factions.Conclusions: Combined bupivacaine use led to a considerable decrease in postoperative pain thereby leading to decreased analgesic use.en_US
dc.identifier.affiliationsDepartment of General Surgery, Lakshmi Narain Medical College, Bhopal, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesia, Lakshmi Narain Medical College, Bhopal, Indiaen_US
dc.identifier.citationPaliwal Palak, Huda Tanweerul, Anand Krishnanand, Shivani Manish, Mishra Navneet. A prospective observational study: combined irrigation of bupivacaine at the gallbladder fossa with infiltration at port site for postoperative pain relief after laparoscopic cholecystectomy. International Surgery Journal. 2020 Oct; 7(10): 3340-3343en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/213245
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20204133en_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectBupivacaineen_US
dc.subjectAnalgesiaen_US
dc.subjectPort site infiltrationen_US
dc.subjectGall bladderen_US
dc.subjectfossa infiltrationen_US
dc.titleA prospective observational study: combined irrigation of bupivacaine at the gallbladder fossa with infiltration at port site for postoperative pain relief after laparoscopic cholecystectomyen_US
dc.typeJournal Articleen_US
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