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
signicant distress. The aim was to evaluate the benet 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 signicant difference in VAS score at 2 and 4 hrs postoperatively (p<0.05). The incidence of PONV was not statistically signicant
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 signicant (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 signicant side effects.
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