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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
› Author Affiliations
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.




Publication History

Received: 30 January 2021

Accepted: 23 May 2022

Article published online:
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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