This randomized clinical trial compared intraperitoneal irrigation of bupivacaine(a local anesthetic) vs a control group receiving normal saline for relief of post operative pain following laparoscopic gallbladder surgery. A total of 106 patients divided into two equal groups, with one group receiving bupivacaine and the other treated using normal saline(control).Previous studies on the subject found that bupivacaine significantly reduced postoperative pain. Although conventional intravenous analgesics remain widely used, bupivacaine may be a better option, especially in difficult surgical cases.
• Adult consented patients of any gender aged 18 to 60 years Fit to undergo elective laparoscopic cholecystectomy
• Patients who had developed choledocholithiasis or pancreatitis pre-operatively
Where conversion to open cholecystectomy is needed intraoperatively
Pregnant or lactating
Inability to express pain appropriately, like in psychiatric disorders
Parallel
Bupivacain
DrugIn group A intraperitoneal bupivacaine is used for pain relief
Saline (0.9% NaCl)
DrugIn group B intraperitoneal saline is used for pain relief as placebo.
Post operative pain relief
The study primarily aimed to compare post operative pain relief following intraperitoneal irrigation of bupivacaine vs normal saline.
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