Annals of Bariatric Surgery، جلد ۳، شماره ۴، صفحات ۱۰۰-۱۱۰

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عنوان انگلیسی A Prospective Randomized Trial to Study The Effect of Intraperitoneal Instillation of Ropivacaine in Postoperative Pain Reduction in Laparoscopic Cholecystectomy
چکیده انگلیسی مقاله Background Postoperative pain following laparoscopic cholecystectomy can be due to various reasons. In this study reduction of visceral and shoulder tip pain is studied with intra peritoneal instillation of ropivacaine. Objectives The study was done to see the effect of intraperitoneal instillation of ropivacaine on postoperative abdominal pain and shoulder pain in laparoscopic cholecystectomy. Patients and Methods Sixty patients with symptomatic gall stone diseases undergoing laparoscopic cholecystectomy were randomized into two groups. In study group A (n = 30 patients) 0.5% of 30 mL (150 mg) of ropivacaine, and in control (placebo) group B (n = 30) 30 mL of normal saline was instilled in the gall bladder bed. Results Abdominal pain is worse during the first 24 hours after laparoscopic cholecystectomy. After 6 and 12 hours abdominal pain was significantly less in group A compared to group B (P < 0.035). Group A experienced less shoulder tip pain during the first postoperative day, compared to control group. Conclusions Intraperitoneal instillation of ropivacaine is more effective than placebo instillation at early postoperative hours in reducing postoperative abdominal pain after laparoscopic cholecystectomy.
کلیدواژه‌های انگلیسی مقاله Laparoscopy,Cholecystectomy,Pneumoperitoneum,Pain,Ropivacaine

نویسندگان مقاله | Pankaj Shivhare
Department of Surgery, All India Institute of Medical Sciences, New Delhi, India


| Pankaj Dugg
Department of Surgery, All India Institute of Medical Sciences, New Delhi, India


| Harnam Singh
Department of General Surgery, Government Medical College, Patiala, India


| Sushil Mittal
Department of General Surgery, Government Medical College, Patiala, India


| Ashwani Kumar
Department of General Surgery, Government Medical College, Patiala, India


| Anand Munghate
Department of General Surgery, Government Medical College, Patiala, India



نشانی اینترنتی http://annbsurg.iums.ac.ir/browse.php?a_code=A-10-31-149&slc_lang=en&sid=1
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زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Basic Science
نوع مقاله منتشر شده Original
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