Simple jQuery Dropdowns
Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/20392
Title: Analgesic effect of intraperitoneal instillation of bupivacaine for postoperative laparoscopic cholecystectomy
Authors: Vorakran Jiranantarat
Winchai Rushatamukayanunt
Narong Lert-Akyamanee
Rattapol Sirijearanai
Isariya Piromrat
Pudsadee Suwannanonda
Jarinya Muangkasem
Mahidol University
Keywords: Medicine
Issue Date: 1-Sep-2002
Citation: Journal of the Medical Association of Thailand. Vol.85, No.SUPPL. 3 (2002)
Abstract: Objective: To study the effectiveness of intraperitoneal instillation of bupivacaine for postoperative laparoscopic cholecystectomy pain relief, especially specific pain (visceral pain, shoulder pain and epigastric pain). Patients and Method: Eighty ASA (American Society of Anesthesiologists) I and 2 patients were randomly assigned to receive either 20 ml of 0.5 per cent bupivacaine (n=39) or the same volume of saline (n=41) instilled under direct vision into the hepatodiaphragmatic space, near and above the hepatoduodenal ligament and above the gall bladder bed at the end of surgery. The intensity of visceral pain, shoulder pain and epigastric pain was assessed at 1, 6, 24 and 48 h after surgery using a visual analogue scale (100 mm VAS) and verbal rating "Prince Henry" pain scale (VRS). The time when analgesia was first required and total analgesic consumption were also recorded. t-test, Chi-square, Mann-Whitney U test and Kaplan-Meier survival analysis were used for statistical analysis. Results: Patient data were similar in the two groups except for body weight. There were no statistical differences between the two groups for the time when analgesia was first required, VAS, VRS and total analgesic consumption. Conclusion: In this study, intraperitoneal instillation of bupivacaine does not show any advantage for postoperative analgesia after laparoscopic cholecystectomy.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0036763934&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/20392
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.