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 .
Intraoperative wound infiltration with bupivacaine in patients undergoing elective cholecystectomy.
In a double-blind r and omized trial , 50 patients scheduled for elective cholecystectomy received 50 mL of either 0.25 % bupivacaine hydrochloride or physiologic saline by wound perfusion at the end of the operation before wound closure . The duration of incisional infiltration , total amount of postoperative analgesics administered , and total hospital stay were recorded . Pulmonary function tests were performed the day before surgery and 1 day after surgery . There was no difference between the two groups with regard to duration of analgesia , the amount of analgesics administered , or the total hospital stay . Both groups also had similar decrements in forced vital capacity and forced expiratory volume on the first postoperative day . We conclude that wound infiltration with 0.25 % bupivacaine after elective cholecystectomy is not effective in reducing postoperative pain . Lung function disturbances can not be prevented
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 .