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ORIGINAL ARTICLE
Year : 2015  |  Volume : 28  |  Issue : 1  |  Page : 5-10

Evaluation of intraperitoneal and preincisional port site local anesthetic use in laparoscopic cholecystectomy


1 Department of General and Laparoscopic Surgery, Faculty of Medicine, El-Menoufia University, El-Menoufia, Egypt
2 Department of General and Vascular Surgery, Faculty of Medicine, El-Menoufia University, El-Menoufia, Egypt

Correspondence Address:
Ahmed Essam AlKafrawy
46 Hegazi Street, El-Mesaha, Tanta 31111
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.155900

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Objective The aim of the study was to evaluate the role of intraperitoneal and port site use of local anesthetic in laparoscopic cholecystectomy in postoperative pain relief. Background Laparoscopic strategies for managing intra-abdominal pathologies offer significant benefits compared with conventional approaches. Of interest are reports of decreased postoperative pain, resulting in shorter hospitalization and earlier return to normal activity. However, many patients still require strong analgesia postoperatively. This study analyzed the intraperitoneal and port site use of local anesthetic and its ability to reduce postoperative pain. Patients and methods For this study, 60 patients undergoing laparoscopic cholecystectomy were recruited and divided randomly into three groups: control (n = 20), intraperitoneal local anesthetic irrigation of bladder bed (n = 20), intraperitoneal and port site local anesthetic (n = 20). All patients had standard preoperative, intraoperative, and postoperative care. Pain scores were recorded by the physician after 1, 2, 4, 6, 8, 10, and 12 h postoperatively using a standard 0-10 pain scoring scale. In addition, peristalsis auscultation, passing flatus, and movement from bed were recorded. Results Intraperitoneal and port site local anesthetic use significantly reduced postoperative pain in comparison with all other treatments (P < 0.05). Conclusion Intraperitoneal and port site local anesthetic is an effective method for controlling postoperative pain. It significantly helped to reduce opiate use and contributed to rapid mobilization, leading to short hospitalization and possible reduction in treatment cost.


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