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 .
Interpleural catheter for analgesia after cholecystectomy: the surgical perspective.
Sixteen otherwise healthy women undergoing cholecystectomy were r and omized to receive postoperative analgesia either by continuous infusion of papaveretum  ( n = 8) , or by continuous interpleural infusion of bupivacaine  ( n = 8) . Postoperative pain was assessed by linear analogue and ventilatory capacity . Changes in body protein were measured by in vivo neutron activation analysis . Clinical course was also noted . Pain scores were significantly lower in the interpleural group over the first 48 h ( P less than 0.02 ) . Ventilatory capacity was also significantly better for the first 24 h ( P less than 0.025 ) . There was no evidence of shortened postoperative ileus ; hospital stay and postoperative fatigue were similar for the two groups . Weight and protein losses over a 2 week period were similar in the two groups . It is concluded that the apparent advantages in patient comfort and mobility offered by interpleural infusion are most marked in the first 48 h postoperatively , with an advantage in ventilatory capacity over the first 24
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 .