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Original Research 
RMJ. 2022; 47(1): 133-136


Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy

Nadia Attiq, Aurangzeb Khan, Muhammad Imran, Khalil ur Rehman, Naveed Arshad, Attique Sadique.

Abstract
Objectives: To compare post-operative pain with and without administration of local anesthetic intraperitoneally in patients undergoing laparoscopic cholecystectomy.
Methodology: This randomized controlled trial was done in surgical unit of Fauji Foundation Hospital, Rawalpindi from July 2017 to Jan 2018. A total of 120 consecutive patients between age of 20-60 years of both gender and who were candidates of laparoscopic cholecystectomy were included in the study. They were equally allocated into two treatment groups by random assignment. Patients in group A (IP 0.5% Bupivicaine) underwent laparoscopic cholecystectomy with administration of 20 ml of 0.5% bupivacaine intraperitoneally. Group B (control) patients underwent laparoscopic cholecystectomy without administration of intraperitoneal local anesthetic. Efficacy (VAS <4) in terms of reduced pain after instillation of local anesthetic intraperitoneally was measured at 8 hours after surgery.
Results: The mean age of both groups was, 46.80±7.12 and 49.40±6.19 years, respectively. According to ASA classification I & II, 52(86.7%) were in group A and 8(13.3%) in group B. Effective pain control at 8 hours after surgery was achieved in 42(70%) patients in group A as compared to 12(20%) in group B (p=0.001).
Conclusions: Intraperitoneal administration of 0.5% Bupivicane after laparoscopic cholecystectomy was found to be an effective option for post-operative pain management at 8 hours after surgery.

Key words: Cholecystectomy, laparoscopic, injections, intraperitoneal, pain, postoperative.


 
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How to Cite this Article
Pubmed Style

Attiq N, Khan A, Imran M, Rehman Ku, Arshad N, Sadique A. Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. RMJ. 2022; 47(1): 133-136.


Web Style

Attiq N, Khan A, Imran M, Rehman Ku, Arshad N, Sadique A. Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. https://www.rmj.org.pk/?mno=84956 [Access: April 06, 2022].


AMA (American Medical Association) Style

Attiq N, Khan A, Imran M, Rehman Ku, Arshad N, Sadique A. Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. RMJ. 2022; 47(1): 133-136.



Vancouver/ICMJE Style

Attiq N, Khan A, Imran M, Rehman Ku, Arshad N, Sadique A. Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. RMJ. (2022), [cited April 06, 2022]; 47(1): 133-136.



Harvard Style

Attiq, N., Khan, . A., Imran, . M., Rehman, . K. u., Arshad, . N. & Sadique, . A. (2022) Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. RMJ, 47 (1), 133-136.



Turabian Style

Attiq, Nadia, Aurangzeb Khan, Muhammad Imran, Khalil ur Rehman, Naveed Arshad, and Attique Sadique. 2022. Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. Rawal Medical Journal, 47 (1), 133-136.



Chicago Style

Attiq, Nadia, Aurangzeb Khan, Muhammad Imran, Khalil ur Rehman, Naveed Arshad, and Attique Sadique. "Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy." Rawal Medical Journal 47 (2022), 133-136.



MLA (The Modern Language Association) Style

Attiq, Nadia, Aurangzeb Khan, Muhammad Imran, Khalil ur Rehman, Naveed Arshad, and Attique Sadique. "Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy." Rawal Medical Journal 47.1 (2022), 133-136. Print.



APA (American Psychological Association) Style

Attiq, N., Khan, . A., Imran, . M., Rehman, . K. u., Arshad, . N. & Sadique, . A. (2022) Comparison of post-operative pain with and without administration of local anesthetic intraperitoneally in laparoscopic cholecystectomy. Rawal Medical Journal, 47 (1), 133-136.








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