Abstract
Background & Aims: Postoperative abdominal and visceral pain after elective Laparoscopic Cholecystectomy (LC) is of prime concern to patients as it causes signicant distress. (1)(2) The aim of our study was to evaluate the benet of intraperitoneal bupivacaine irrigation on the surgical bed versus placebo. Methods: 50 patients undergoing elective laparoscopic cholecystectomy were included in the study. They were prospectively randomised into 2 groups. The placebo group (Group P, n = 25) received 35 cc saline without bupivacaine, installed into the gallbladder bed. The bupivacaine group (Group B, n =25) were given 35 cc of 0.25% bupivacaine at the same location. Pain was evaluated at regular intervals of 0, 5, 10, and 24 hours using the visual analogue scale (VAS). Result: Asignicant difference (P=) was seen on VAS to evaluate post-operative pain between two groups at 5 hours post operatively. Conclusion: Irrigation of local anaesthetic bupivacaine at the gall bladder bed can be an effective method for decreasing post-operative pain in the rst 5 hours after laparoscopic surgery.
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