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Evaluation of the effect of local anesthetic wound infiltration and intra peritoneal instillation on post laparoscopic cholecystectomy pain
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
119-122
Authors:
Hazem Nour Abdelattef Ashry
Staff Zu Site
Abstract In Staff Site
Journal:
SURGICAL CHRONICLES SURGICAL CHRONICLES
Volume:
Keywords :
Evaluation , , effect , local anesthetic wound infiltration
Abstract:
Background; Laparoscopic cholecystectomy (LC) is one of the most common operations performed in the last 2 decade. (LC) is associated with less postoperative pain than open cholecystectomy, abdominal and shoulder pain after (LC) are a considerable causes of patients distress, both are the primary reasons of prolonged convalescence and overnight hospital stay. Many methods have been tried to treat post (LC) pain as, Non-steroidal anti‑inflammatory drugs, local infiltration with local anesthetics, epidural and intrathecal opioids and local anesthetics, intercostal nerve blocks as well as intraperitoneal instillation (IPI) of saline and local anesthesia (LA), saline and LA solution decreases the overall pain sensation after laparoscopic cholecystectomy. Other reported benefits of IPI of LA in laparoscopy is earlier discharge, decreases opioid consumption and postoperative nausea and vomiting and improves pulmonary function during the postoperative course. Patient and methods; 74 patients divided into 2 groups each consists of 37 patients, 1st group the control group. the 2nd group received intraperitoneal lidocaine 2% in the undersurface of diaphragm and at the gall bladder bed, and infiltration around the incisions. Results; There is significant improvement in the pain scores in patients who received local anesthetics in the 1st postoperative 24 hours. Conclusion; lidocaine 2% Local anesthetic Intraperitoneal instillation of and wound infiltration decreases the post-operative pain and improves patients recovery in cases of laparoscopic cholecystectomy.
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