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dc.contributor.authorVorakran Jiranantaraten_US
dc.contributor.authorWinchai Rushatamukayanunten_US
dc.contributor.authorNarong Lert-Akyamaneeen_US
dc.contributor.authorRattapol Sirijearanaien_US
dc.contributor.authorIsariya Piromraten_US
dc.contributor.authorPudsadee Suwannanondaen_US
dc.contributor.authorJarinya Muangkasemen_US
dc.contributor.otherMahidol Universityen_US
dc.identifier.citationJournal of the Medical Association of Thailand. Vol.85, No.SUPPL. 3 (2002)en_US
dc.description.abstractObjective: 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.en_US
dc.rightsMahidol Universityen_US
dc.titleAnalgesic effect of intraperitoneal instillation of bupivacaine for postoperative laparoscopic cholecystectomyen_US
dc.typeConference Paperen_US
Appears in Collections:Scopus 2001-2005

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