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Research Paper | Surgery | India | Volume 12 Issue 1, January 2023
A Prospective Comparative Study of Intraoperative Ropivacaine with Standard Analgesia for Post Operative Pain Management in Laproscopic Cholecystectomy
Dr. Nikhil Nataraju | Dr. Deepthi R. | Dr. Madhura .G | Dr K. S. Hanumanthaiah
Abstract: Background: Laparoscopic surgeries for treating intra - abdominal pathologies offer significant benefits compared to conventional approaches. This is to decrease the postoperative pain, resulting in shorter hospitalization and early return to normal activity. However, many patients still require strong analgesia. This study is a comparative study of intra operative Ropivacaine with standard analgesia for postoperative pain management in laparoscopic cholecystectomy. Ropivacaine; Intraperitoneal instillation; cholecystectomy; local analgesia Aims and objectives: To compare intra operative Ropivacaine with standard analgesia for post operative pain management in laparoscopic cholecystectomy and assess the effectiveness of the same when administered intra peritoneally. Materials and methods: A prospective randomized case - control study was conducted over a period of 5 months at Rajarajeshwari Medical College and Hospital.60 patients undergoing laparoscopic cholecystectomy were selected and were divided into the study and control groups. The study group had 30 patients undergoing laparoscopic cholecystectomy were infiltrated with intra operative Ropivacaine 0.25% at the GB fossa and the port site. In the control group the patients were given just the standard post operative analgesia. Demographic variables were identified and compared between the control and the study groups. Peri - operative and operative data like the operative time and self - report or assignment of the intensity of the pain on the Visual Analogue Scale were identified. Mean hospital stay and postoperative complications were assessed. Results: 60 patients were studied, of which 31 (53.3%) were male and 29 (48.3%) were females. It was found that there was significant reduction in the pain (at 6 hr., 12 hr. and 7 days postoperatively) and also associated nausea in the early postoperative period. It was also identified that there was decrease in the duration of the stay in patients with intraperitoneal instillation of the Ropivacaine. Conclusion: Local infiltration of Ropivacaine at port sites during laparoscopic cholecystectomy can be implemented in clinical practice as it reduces post operative pain, has less adverse effects, minimizes the use of opioid analgesics, reduces the hospital stay and is also economically feasible.
Keywords: Ropivacaine, Intraperitoneal instillation, cholecystectomy, local analgesia
Edition: Volume 12 Issue 1, January 2023,
Pages: 922 - 925