This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
Post-cholecystectomy pulmonary function following interpleural bupivacaine and intramuscular pethidine.
Twenty-four patients who were to undergo cholecystectomy were r and omised into two groups , one to receive postoperative analgesia with interpleural bupivacaine , 20 ml of a 0.5 % solution with adrenaline 5 micrograms/ml , and the other to receive intramuscular pethidine , 1 mg/kg . Preoperative and postoperative pulmonary function , postoperative pain scores , and days from operation to hospital discharge were recorded and statistically compared . There was no significant difference in pain scores , nor in days to discharge ; however , postoperative pulmonary mechanics were significantly poorer in the interpleural group . A hypothesis to explain the differences is offered
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .