A COMPARATIVE STUDY ON THE POSTOPERATIVE ANALGESIC EFFECTS OF THE INTRA PERITONEAL INSTILLATION OF ROPIVACAINE VERSUS BUPIVACAINE FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY

Author:

Vipula Vipula1,Goel Sharad2,Agrawal Ayushi1

Affiliation:

1. Post Graduate 3 year, Department of Anaesthesiology, SIMS, Hapur (U. P.)

2. Professor & Head of Department, Department of Anaesthesiology, SIMS, Hapur (U. P.)

Abstract

Background and Aims: Laparoscopic cholecystectomy is widely performed, and has replaced open cholecystectomy as the gold standard for cholelithiasis. Postoperative abdominal and visceral pain after elective Laparoscopic Cholecystectomy is of prime concern to patients as it causes signicant distress. The aim was to evaluate the benet of intraperitoneal instillation of Ropivacaine versus bupivacaine on postoperative pain after Laparoscopic Cholecystectomy when used as a part of multimodal analgesia. A Material And Method: fter ethical committee approval and written informed consent, 60 patients of ASA1 and 2, aged between 18 to 60 years of either genders. Group Bupivacaine (B): received intraperitoneal instillation of 20 ml of plain bupivacaine 0.5%. Group Ropivacaine (R): received 20 ml of 0.75% ropivacaine. Result: There was statistically signicant difference in VAS score at 2 and 4 hrs postoperatively (p<0.05). The incidence of PONV was not statistically signicant between the groups (P = 0.1 and p = 0.09, respectively). Shoulder pain was seen in 17 patients in Group B and seven patients in Group R, which was statistically signicant (P = 0.04) We conclude that the intraperitoneal Conclusion: and sub diaphragmatic instillation of 0.75% ropivacaine is a safe and effective method for providing postoperative analgesia without signicant side effects.

Publisher

World Wide Journals

Subject

Dentistry (miscellaneous),Complementary and alternative medicine,Endocrinology, Diabetes and Metabolism,Medicine (miscellaneous),Internal Medicine,General Dentistry,Information Systems,Theoretical Computer Science,Software,Computer Networks and Communications,Software,Artificial Intelligence,Computer Vision and Pattern Recognition,Software,Mechanics of Materials,Civil and Structural Engineering,Mechanics of Materials,Civil and Structural Engineering,Education

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