Evaluating the effect of local and intraperitoneal bupivacain infiltrations on pain relief after laparoscopic cholecystectomy \r\n', u'\r\n', u'
- Author:
Tu Huu Nguyen
;
Thanh Thi Ngan Nguyen
- Publication Type:Journal Article
- Keywords:
Bupivacain infiltration;
laparoscopic cholecystectomy;
postoperative pain
- MeSH:
Cholecystectomy/ methods;
Bupivacaine/ administration & dosage
- From:Journal of Medical Research
2007;47(2):100-106
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Laparoscopic surgery is as very safe as traditional open surgery. A laparoscopic cholecystectomy is a surgical procedure during which the doctor removes your gallbladde. Objectives: This study was to assess the effect of local and intraperitoneal bupivacain infiltration on pain relief after laparoscopic cholecystectomy and the side effects of this technique. Subjects and method: In study group (n = 37), 25 mg bupivacain 0.25 % and 75 mg were infiltrated at Trocat incisions and at intraperitoneal surgery site, respectively. In placebo group (n = 44): no infiltration was used. VAS was measured controlling patient's pain during at rest, following inspiratory effort and movement; IV perfalgan requirement and the side effects of the technique were observed. Results: VAS at rest, following inspiratory effort and movement as well as perfalgan requirement during postoperative 6 hours were lower in study group (p < 0.05). \r\n", u'A significant decrease of heart rate after 10 - 30 minute of intraperitoneal infiltration of bupivacain was noted. Conclusions: Local and intraperitoneal bupivacain infiltrations had an effectiveness on pain relief during 6 hours after laparoscopic cholecystectomy. Moderate bradycardia was a main side effect of this technique. \r\n', u' \r\n', u'
