A study on Intraperitoneal Instillation of Bupivacaine for Postoperative Pain Relief after Laparoscopic Cholecystectomy in JLNMCH, Bhagalpur

Dr. Mahesh Kumar

Volume : VII, Issue : II, February - 2017

A study on Intraperitoneal Instillation of Bupivacaine for Postoperative Pain Relief after Laparoscopic Cholecystectomy in JLNMCH, Bhagalpur

Dr. Mahesh Kumar

Abstract :

Background: Laparoscopic cholecystectomy has become a standard technique for gall bladder surgeries. These surgeries have less post operative pain and smoother recovery than conventional open cholecystectomies. Incisional, intra abdominal and shoulder pain are known to occur after laparoscopic cholecystectomy^. These can occur for a number of reason:– stretching of parietal peritoneum from insufflations of gas intraperitoneally, release of inflammatory mediators of pain and irritation produced by blood. Aim is to study on the post operative pain relief in laparoscopic cholecystectomy patients using intraperitoneal instillation of Bupivacaine. Materials and Methods: In this study, 50 cases of laparoscopic cholecystectomy were taken. Patients received intraperitoneal instillation of bupivacaine diluted in 100 ml saline. Patients were assessed for pain. Study was done in Anaesthesia department of JLNMCH, Bhagalpur, Bihar from October 2015 to September 2016. The group included both males and females. Results: Intraperitoneal bupivacaine instillation provided significantly longer duration of analgesia, significantly lower pain VAS score and significantly less consumption of post operative rescue analgesia.