Comparison of intra–peritoneal  Bupivacaine and Ropivacaine for postoperative pain relief after laparoscopic cholecystectomy–A randomised clinical trial.

Tata.V.S. Ramprasad

Volume : IV, Issue : III, March - 2015

Comparison of intra–peritoneal Bupivacaine and Ropivacaine for postoperative pain relief after laparoscopic cholecystectomy–A randomised clinical trial.

Tata. V. S. Ramprasad,

Abstract :

Background: Efficacy of local anaesthetics as a component of multimodal analgesia after laparoscopic surgery had been evaluated by many studies. We compared the efficacy of two long acting local anaesthetics in decreasing postoperative pain and analgesic consumption. Materials and methods: Sixty patients were randomly assigned to receive either intra–peritoneal installation of 40 ml and port site infiltration of 10 ml of 0.25% bupivacaine or 0.25% ropivacaine after a standard general anaesthesia.10 point Visual Analogue Pain score at 12th postoperative hour and total tramadol consumption over 12 hours were evaluated. Results: There was no significant variation in the mean pain score at 12th postoperative hour between the bupivacaine (3.133�1.008) and ropivacaine (3.166�1.08) groups (p 0.9024). Mean tramadol consumption in 12 hours was more in Ropivacaine group than Bupivacaine Group B, but the difference was not statistically significant (p 0.2859). Conclusion: Both bupivacaine and ropivacaine exhibit equal efficacy in decreasing postoperative pain after laparoscopic cholecystectomy