Role of port incision site and intraperitoneal Inj. Lignocaine 2% instillation on post-operative pain relief after laparoscopic surgery
Keywords:
laparoscopy, pain, cholecystectomy, appendix, abdominal surgeryAbstract
Introduction: Laparoscopic surgery, in particular, has seen tremendous advances. Breakthroughs in video technology, instrumentation, adhesion prevention, and computer-enhanced technology have certainly allowed surgeons to routinely perform a number of procedures endoscopically rather than by laparotomies. Aim and Objectives: To evaluate role of lignocaine 2% instillation at post site and intraperitoneal on pain relief. Methodology: 40 patients who were enrolled in present study conducted at Dhiraj hospital, Smt. B. K. Shah Medical Institute and research centre, Pipariya from 1st August 2020 to 30th October 2021. They were randomly divided in to 2 groups A and B. In patients of Group A post-operative Inj. Lignocaine 2% were given at port site and intraperitoneally while patients of group B were managed as routine. Patients in both groups were given pain score and score was recorded and compared at 1, 4 and 10 hours postoperatively. Results: Total 40 patients were enrolled out of which 22 patients were Male and 8 patients were female; mean age group was 31-40, most common surgery was laparoscopic cholecystectomy. Pain score was more in group B as compared to group A. Conclusion: Port site and intraperitoneal instillation of injection lignocaine reduces post-operative pain following laparoscopic surgeries.
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Dr. Honeypalsinh H Maharaul, Dr. Nitin Jain, Dr. Paheli Garg. Port site complications following laparoscopic surgeries. Int J Surg Sci 2019;3(3):318-324.
Lei QC, Wang XY, Zheng HZ, Xia XF, Bi JC, Gao XJ et al. Laparoscopic Versus Open Colorectal Resection Within Fast Track Programs: An Update Meta-Analysis Based on Randomized Controlled Trials. J Clin Med Res. 2015; 7:594-601.
Deng Y, Zhang Y, Guo TK. Laparoscopy-assisted versus open distal gastrectomy for early gastric cancer: A metaanalysis based on seven randomized controlled trials. Surg Oncol. 2015; 24:71-77.
Mehrabi A, Hafezi M, Arvin J, Esmaeilzadeh M, Garoussi C, Emami G et al. A systematic review and meta-analysis of laparoscopic versus open distal pancreatectomy for benign and malignant lesions of the pancreas: it’s time to randomize. Surgery. 2015; 157:45-55.
Bhave Chittawar P, Franik S, Pouwer AW, Farquhar C. Minimally invasive surgical techniques versus open myomectomy for uterine fibroids. Cochrane Database Syst Rev. 2014; 10:CD004638.
Esposito C, St Peter SD, Escolino M, Juang D, Settimi A, Holcomb GW. Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J Laparoendosc Adv Surg Tech A. 2014; 24:811-818.
Ahmad G, Duffy JM, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2008; 2:CD006583.
Jansen FW, Kolkman W, Bakkum EA, de Kroon CD, Trimbos-Kemper TC, Trimbos JB. Complications of laparoscopy: An inquiry about closed- versus open-entry technique. Am J Obstet Gynecol. 2004; 190:634-8.
W. Newcomb, A. Lincourt, W. Hope, et al., Prospective, double blinded, randomized, placebo-controlled comparison of local anesthetic and nonsteroid anti-inflammatory drugs for postoperative pain management after laparoscopic surgery, Am. Surg. 73 (2007) 618–624.
D.M. O’Hanlon, S.T. Colbert, J. Ragheb, et al., Intraperitoneal pethidine for the relief of pain after laparoscopic cholecystectomy: randomized trial, World J. Surg. 26 (2008) 1432–1436.
I. Alper, S. Ulukaya, V. Ertugrul, et al., Effects of intraperitoneal levobupivacaine on pain after laparoscopic cholecystectomy: a prospective, randomized, double-blinded study, Agri 21 (2009) 141–145.
P. Narchi, D. Benhamou, H. Fernandez, Intraperitoneal local anaesthetic for shoulder pain after day case laparoscopy, Lancet 338 (1991) 1569–1570.
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