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CC BY 4.0 · Surg J (N Y) 2022; 08(04): e312-e315
DOI: 10.1055/s-0042-1758141
Original Article

Irrigation with Bupivacaine at the Surgical Bed for Postoperative Shoulder Tip and Abdominal Pain Relief after Laparoscopic Cholecystectomy

Affan Iqbal
1   Department of General Surgery, Sagar Hospitals, Bangalore, Karnataka, India
2   Department of General Surgery, Seventh-Day Adventist Hospital, Bangalore, Karnataka, India
,
Amir Khodavirdipour 
3   School of Sport and Health Sciences, University of Brighton, Brighton, United Kingdom.
,
HR Ravishankar
1   Department of General Surgery, Sagar Hospitals, Bangalore, Karnataka, India
› Institutsangaben Funding This project did not receive any funding from any institution or medical center.
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Abstract

Gallstones in western countries are primarily composed of cholesterol. However, mixed or pigment stones, which contain a higher proportion of bilirubin, are more frequently seen in developing nations and Asia than in western countries. Abdominal and shoulder tip pains (STPs) are common complaints following the standard laparoscopic cholecystectomy procedure. To date, all pain management modalities have proven variable outcomes. This prospective randomized study included 82 patients who underwent elective laparoscopic cholecystectomy. The control group received 20 mL of normal saline, whereas the study group received a 20-mL instillation of 0.5% bupivacaine at the gallbladder bed after surgical resection. The Visual Analog Scale (VAS) was used to analyze abdominal pain and STP. The mean age ranged from 20 to 80 years. Abdominal VAS at 6, 12, 18, 24, 30, 36, and 48 hours were statistically insignificant. The majority were discharged on postoperative day 1 (32 studies, 37 control). Follow-up VAS after 1 week for STP VAS and abdominal pain VAS in both groups were statistically insignificant. Even with small numbers of a well-conducted randomized trial, we demonstrated that bupivacaine irrigation at the gallbladder bedpost laparoscopic cholecystectomy does not affect pain relief.

Keywords

cholecystectomy - gallstone - bupivacaine - laparoscopy

Authors' Contributions

All authors contributed equally.




Publikationsverlauf

Eingereicht: 30. Januar 2021

Angenommen: 23. Mai 2022

Artikel online veröffentlicht:
06. November 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Castillo-Garza G, Díaz-Elizondo JA, Cuello-García CA, Villegas-Cabello O. Irrigation with bupivacaine at the surgical bed for postoperative pain relief after laparoscopic cholecystectomy. JSLS 2012; 16 (01) 105-111
    CrossrefPubMedGoogle Scholar
  • 2 Golubović S, Golubović V, Cindrić-Stancin M, Tokmadzić VS. Intraperitoneal analgesia for laparoscopic cholecystectomy: bupivacaine versus bupivacaine with tramadol. Coll Antropol 2009; 33 (01) 299-302
    PubMedGoogle Scholar
  • 3 Wasim M, Shafqatullah SM, Subhan A. Role of intraperitoneal bupivacaine in laparoscopic cholecystectomy. Pak J Surg 2014; 30 (03) 222-226
    PubMedGoogle Scholar
  • 4 Zmora O, Stolik-Dollberg O, Bar-Zakai B. et al. Intraperitoneal bupivacaine does not attenuate pain following laparoscopic cholecystectomy. JSLS 2000; 4 (04) 301-304
    PubMedGoogle Scholar
  • 5 Kumar M, Negi B, Chauhan A, Jhobta RS, Bhandari S. Effect of subdiaphragmatic and gall bladder bed administration of bupivacaine on post operative pain and post operative pulmonary functions in laparoscopic cholecystectomy. IOSR J Dent Med Sci 2015; 14 (01) 21-26
    PubMedGoogle Scholar
  • 6 Alkhamesi NA, Peck DH, Lomax D, Darzi AW. Intraperitoneal aerosolization of bupivacaine reduces postoperative pain in laparoscopic surgery: a randomized prospective controlled double-blinded clinical trial. Surg Endosc 2007; 21 (04) 602-606
    CrossrefPubMedGoogle Scholar
  • 7 Latif Kalas G, Khan FH, Khan KH, Malik N, Anwar I. Comparison of intraperiton ealbupivacaie with intravenous tramadol hydrochloride for postoperative pain relief after laparoscopic cholecystectomy. Journal of University Medical & Dental College 2019; 10 (01) 1-6
    PubMedGoogle Scholar
  • 8 Golash V. Laparoscopic Primary prosthetic repair of Hiatus hernia with GERD in 88 patients. British J Surg 2012; 99: 57-57
    PubMedGoogle Scholar
  • 9 Ahmed F, Narula H, Khandelwal M, Dutta D. A comparative study of three different doses of nalbuphine as an adjuvant to intrathecal bupivacaine for postoperative analgesia in abdominal hysterectomy. Indian Journal of Pain 2016; 30 (01) 23
    CrossrefPubMedGoogle Scholar
  • 10 Bianchi PP, Rosati R, Bona S. et al. Laparoscopic surgery in rectal cancer: a prospective analysis of patient survival and outcomes. Dis Colon Rectum 2007; 50 (12) 2047-2053
    CrossrefPubMedGoogle Scholar
  • 11 Memon F, Gill RC, Baloch S. et al. Conversion of laparoscopic to open cholecystectomy, is gender a predictor?. Pak J Surg 2014; 30 (04) 290-295
    PubMedGoogle Scholar
  • 12 Joris JL, Jacob EA, Sessler DI, Deleuse JJ, Kaba A, Lamy ML. Spinal mechanisms contribute to analgesia produced by epidural sufentanil combined with bupivacaine for postoperative analgesia. Anesth Analg 2003; 97 (05) 1446-1451
    CrossrefPubMedGoogle Scholar
  • 13 Boddy AP, Mehta S, Rhodes M. The effect of intraperitoneal local anesthesia in laparoscopic cholecystectomy: a systematic review and meta-analysis. Anesth Analg 2006; 103 (03) 682-688
    CrossrefPubMedGoogle Scholar