Intraincisional Vs Intraperitoneal Infiltration of Local Anaesthetic for Controlling Early Post-laparoscopic Cholecystectomy Pain

Overview

Journal J Minim Access Surg

Specialty Gastroenterology

Date 2011 Oct 25

PMID 22022099

Citations 18

Authors

Gouda M El-Labban

Emad N Hokkam

Mohamed A El-Labban

Khaled Morsy

Sameh Saadl

Khaled S Heissam

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

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Regional anaesthesia for postoperative pain management following laparoscopic, visceral, non-oncological surgery a systematic review and meta-analysis.

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Comparison of Trocar Site versus Trocar Site Plus Intraperitoneal Instillation of Local Anesthetic for Shoulder Pain Following Laparoscopic Abdominal Surgery.

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PMID: 35422541 PMC: 9004265. DOI: 10.4103/aer.aer_156_21.

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