Port-site infiltration of bupivacaine in reduction of postoperative pain after laparoscopic cholecystectomy

Akter, Md. Babul; Bahar, Md. Ashik Anwar; Ahmed, Jahir; Islam, Tabibul; Alam, Kazi Zana; Rahman, Md. Mizanur; Mowla, Golam; Hassan, Ahmod Nasim; Kabir, Asm Anwarul

doi:10.33545/surgery.2021.v5.i2c.674

Cited by 4 publications

(3 citation statements)

References 12 publications

(21 reference statements)

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“…14 Pain relief and patient comfort during the early postoperative period becomes increasingly important, as the need for the 1st analgesic may delay in group I also obtained by. [15][16][17][18] In this present study the mean repeat dose of analgesic was 22±2.29 hours with range from 18 to 26 hours in group I and 9.5±1.15 hours with range from 7 to 11 hours in group II. The repeat dose of analgesic was also significantly (p<0.05) early in group II, which is similar with a study.…”

Section: Discussionsupporting

confidence: 46%

Comparative analysis of analgesic consumption and pain relief in patients receiving 0.25% bupivacaine versus those without intervention

Kamal,

Siddique,

Khan

2024

Int Surg J

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Background: Laparoscopic cholecystectomy, now a standard for gall bladder surgery in symptomatic cholelithiasis, has significantly renovated our perspective on the postoperative recovery of patients undergoing cholecystectomy. However, pain stands out as a significant factor necessitating overnight stays after laparoscopic cholecystectomy. This study investigates the comparison of the analgesic and pain relief between groups who will receive 0.25% bupivacaine and group will not receive 0.25% bupivacaine. Methods: A cross sectional study that was carried out in the department of surgery in Bangabandhu Sheikh Mujib Medical University, Dhaka over a period of six months and comprised 40 patients scheduled for laparoscopic cholecystectomy. Results: At 12 hours after surgery, group I had a lower mean Numeric Rating Scale (NRS) score for pain (4.1±1.21) compared to group II (7.95±0.6). The difference between the groups was statistically significant (p<0.05). The mean NRS score for pain at 12 hours postoperatively was significantly lower in group I (4.72±0.61) compared to group II (6.08±0.64), suggesting a substantial reduction in pain intensity with the use of Bupivacaine during the initial 12 hours after surgery. Conclusions: Considering the observed effectiveness of local administration of 0.25% bupivacaine at the port sites in reducing postoperative pain and the associated decrease in the need for conventional analgesics, patients undergoing laparoscopic cholecystectomy may benefit from discussing this pain management approach with their healthcare providers.

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Section: Discussionsupporting

confidence: 46%

Comparative analysis of analgesic consumption and pain relief in patients receiving 0.25% bupivacaine versus those without intervention

Kamal,

Siddique,

Khan

2024

Int Surg J

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“…Pain is the primary factor in 17-41% of patients' overnight hospital stays on the day of surgery. 9 The application of local anesthetics at the trocar site, lowering pneumoperitoneum pressure, and fewer surgical ports are just a few of the methods that have been suggested so far to manage pain. 10,11 reducing postoperative pain after a variety of surgical operations has been the infiltration of the wound with local anaesthetics.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of port site bupivacaine infiltration in postoperative pain reduction after laparoscopic cholecystectomy: A randomized controlled trial from a tertiary care hospital.

Nida Shahid,

Asim Masroor Rashid,

Rizwan Ahmed

2024

TPMJ

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Objective: To determine the effectiveness of port site bupivacaine infiltration in postoperative pain reduction among patients undergoing LC in a tertiary care hospital in Karachi, Pakistan. Study Design: Randomized Controlled Trial. Setting: Department of Anesthesia, Hamdard Hospital, Karachi, Pakistan. Period: April 2022 to September 2022. Material & Methods: Patients of either gender aged between 18-45 years, undergoing elective laparoscopic cholecystectomy were included. Twenty ml of 0.25% bupivacaine solution were locally injected into the intervention group at the port locations. Treatment for the control group was consistent with standard of care. Post-surgery, to measure the severity of the pain, a visual analogue scale (VAS) was utilized and compared. Results: In a total of 170 patients, age, weight, systolic and diastolic blood pressure, ASA grade, SPO2, and the duration of the surgery were not substantially different between the two study groups at baseline (p>0.05). Post-operatively, from third hour till ninth hour pain score, abdominal pain, incisional pain and shoulder pain were significantly lower among the group received local infiltration of bupivacaine. No significant differences were seen at 12th hour. Median time to rescue analgesia was 12 (IQR=6-12) hours and 6 (IQR=6-9) hours among the intervention and control group (p<0.001). Conclusion: This study found lower pain intensity and higher time of rescue analgesia to be associated with local infiltration of bupivacaine at port as compared to control group in the early post-operative period among patients underwent laparoscopic cholecystectomy.

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“…It has been hypothesized that after laparoscopic cholecystectomy extreme acute pain might perhaps forecast the progress into chronic pain. 6 Pain is linked with various factors in laparoscopic cholecystectomy like somatic, visceral, and phrenic nerve irritation. 7 Local tissue infiltration with local anesthetics is one of the simple, yet effective, techniques to prevent and control pain in first 24 hours.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Local Anaesthetic in Reducing Postoperative Pain at Port Site After Laparoscopic Cholecystectomy

Bukhari¹,

Akbar²,

Shoaib³

2022

J Ayub Med Coll Abbottabad

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Background: Laparoscopy has become the highest quality level way to deal with cholecystectomy since its inception 30 years preceding, and is perhaps the most normally performed general surgeries. Pain being a significant issue after laparoscopic cholecystectomy bringing about extended admissions or readmissions. With significant varieties in pain relieving conventions an integrated approach is important to diminish pain. The aim of this study is to assess the effectiveness of Bupivacaine as local anesthetic agent at port sites after laparoscopic cholecystectomy. Methods: Study population of 84 patients was divided into control group (receiving no local anesthetic) and study group (receiving Bupivacaine as local anesthetic). Visual analogue scale was used to quantify and compare pain perceived by each group; at fixed intervals of 6, 12 and 24 hours after shifting of the patients back to the ward. Results: Each group comprised 42 patients. At 6 hours post operative pain score in study group, 4.5±0.32 was significantly lower than in control group, 7.6±0.41 (p<0.05). Though pain assessments at 12 and 24 hours didn’t reveal any significant differences among the two groups; postoperative requirement of Tramadol was significantly (p<0.05) lower in study group (92±0.064mg) in comparison to control group (158±0.21mg). Conclusion: Use of long-acting local anesthetic injections at port sites after laparoscopic cholecystectomy significantly lowers pain during first 6 hours post operatively and also lowers narcotic analgesics requirements during post operative period.

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Port-site infiltration of bupivacaine in reduction of postoperative pain after laparoscopic cholecystectomy

Cited by 4 publications

References 12 publications

Comparative analysis of analgesic consumption and pain relief in patients receiving 0.25% bupivacaine versus those without intervention

Comparative analysis of analgesic consumption and pain relief in patients receiving 0.25% bupivacaine versus those without intervention

Effectiveness of port site bupivacaine infiltration in postoperative pain reduction after laparoscopic cholecystectomy: A randomized controlled trial from a tertiary care hospital.

Effectiveness of Local Anaesthetic in Reducing Postoperative Pain at Port Site After Laparoscopic Cholecystectomy

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