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 .
The use of intraperitoneal bupivacaine to decrease the length of stay in elective laparoscopic cholecystectomy patients.
This prospect i ve , double-blind , r and omized , and placebo-controlled study evaluates the effectiveness of intraperitoneal bupivacaine in decreasing the length of stay for elective laparoscopic cholecystectomy patients . Seventy-seven patients undergoing elective laparoscopic cholecystectomy before noon at a single institution and by a single group of surgeons were entered into the study . The pharmacy r and omly assigned each patient to one of four study groups ( control , predissection , postdissection , and both ) . Two syringes ( A and B ) containing 15 cm3 of either normal saline or 0.5 per cent bupivacaine were sent with the patient to surgery . Syringe A was sprayed over the perihepatic area before any dissection , and B was sprayed over the perihepatic area just before port removal . Preoperative , intraoperative , and postoperative data were collected . Sixty-six patients completed the study : control , 14 ; predissection , 18 ; postdissection , 15 ; and both , 19 . There was no statistical difference between the predissection , postdissection , and both groups regarding same-day discharge . Therefore , these groups were combined for comparison against the control group . The study found that patients receiving bupivacaine at any time during the surgery were more likely to go home the same day as their procedure ( 79 % vs 43 % , respectively : P < 0.02 )
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 .