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 ORIGINAL ARTICLE
Year : 2011  |  Volume : 7  |  Issue : 3  |  Page : 173-177

Intraincisional vs intraperitoneal infiltration of local anaesthetic for controlling early post-laparoscopic cholecystectomy pain


1 Department of General Surgery, Faculty of Medicine, Suez Canal University, Round Road, Ismailia, Egypt
2 Department of Emergency, Faculty of Medicine, Suez Canal University, Round Road, Ismailia, Egypt
3 Department of Family Medicine, Faculty of Medicine, Suez Canal University, Round Road, Ismailia, Egypt

Correspondence Address:
Gouda M El-labban
Department of General Surgery, Faculty of Medicine, Suez Canal University, Round road, Ismailia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.83508

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Background: The study was designed to compare the effect of intraincisional vs intraperitoneal infiltration of levobupivacaine 0.25% on post-operative pain in laparoscopic cholecystectomy. Materials and Methods: This randomised controlled study was carried out on 189 patients who underwent laparoscopic cholecystectomy. Group 1 was the control group and did not receive either intraperitoneal or intraincisional levobupivacaine. Group 2 was assigned to receive local infiltration (intraincisional) of 20 ml solution of levobupivacaine 0.25%, while Group 3 received 20 ml solution of levobupivacaine 0.25% intraperitoneally. Post-operative pain was recorded for 24 hours post-operatively. Results: Post-operative abdominal pain was significantly lower with intraincisional infiltration of levobupivacaine 0.25% in group 2. This difference was reported from 30 minutes till 24 hours post-operatively. Right shoulder pain showed significantly lower incidence in group 2 and group 3 compared to control group. Although statistically insignificant, shoulder pain was less in group 3 than group 2. Conclusion: Intraincisional infiltration of levobupivacaine is more effective than intraperitoneal route in controlling post-operative abdominal pain. It decreases the need for rescue analgesia.






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