Comparison of intraincisional and intraperitoneal infiltration of local anaesthetic in laparoscopic cholecystectomy to control early postoperative pain.

  • Nadia Bano University Medical and Dental College Faisalabad.
  • Nazim Hayat University Medical and Dental College Faisalabad.
  • Saira Saleem University Medical and Dental College Faisalabad.
  • Farhan Javaid University Medical and Dental College Faisalabad.
  • Ayesha Rehman University Medical and Dental College Faisalabad.
  • Mudassir Jabeen Independent Medical College Faisalabad.
Keywords: Infiltration, Laparoscopic Cholecystectomy, Local Anaesthetic, Pain Relief

Abstract

Objective: To compare the effects of intraincisional and intraperitoneal infiltration of local anaesthetic to relieve early postoperative pain in laparoscopic cholecystectomy. Study Design: Randomized Control Trial. Setting: Department of Anaesthesia and Surgery, Madinah Teaching Hospital Faisalabad. Period: July 2017 to March 2018. Material & Methods: A sample of 100 patients with American Society of Anaesthesiologists Physical status (ASA) I and II, undergoing laparoscopic cholecystectomy were selected using simple random sampling technique. Patients were randomly assigned into groups A and B. Group A patients received intraperitoneal infiltration of 20 ml solution of 0.25% bupivacaine and group B patients received intraincisional infiltration of 20 ml solution of 0.25% bupivacaine. Results:  Demographic characteristics were not significantly different in both groups. Our study showed that Group A patients had better pain relief as compared to group B patients. Visual analogue score (VAS) for pain relief at 0, 3,6,12 and 24 hours was statistically different in both groups. The requirement of rescue analgesia between group A and B was found to be12% and 38% which is statically significant (p value 0.003). Conclusion: intraperitoneal infiltration of Bupivacaine offers better postoperative pain relief after laparoscopic cholecystectomy and is associated with less analgesic requirement in early postoperative period.

Author Biographies

Nadia Bano, University Medical and Dental College Faisalabad.

FCPS

Associate Professor Anaesthesia

 

Nazim Hayat, University Medical and Dental College Faisalabad.

FCPS

Professor of Surgery

Saira Saleem, University Medical and Dental College Faisalabad.

FCPS

Associate Professor Surgery

Farhan Javaid, University Medical and Dental College Faisalabad.

FCPS

Assistant Professor

Ayesha Rehman, University Medical and Dental College Faisalabad.

FCPS

Senior Registrar

Mudassir Jabeen, Independent Medical College Faisalabad.

FCPS

Assistant Professor Surgery

Published
2021-02-10