Pre-Emptive Analgesia by Intraperitoneal Instillation of Lignocaine in Laparoscopic Cholecystectomy

Objective: To compare the effects of preemptive intraperitoneal instillation of local anesthetic (lignocaine) with conventional instillation after the removal of gall bladder in elective laparoscopic cholecystectomy. Study Design: Quasi-experimental study. Place and Duration of study: General Surgic...

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Veröffentlicht in:Pakistan Armed Forces medical journal 2023-08, Vol.73 (SUPPL-1), p.S28-31
Hauptverfasser: Akhtar, Muhammad Talha, Akhtar, Muhammad Usama, Hussain, Syed Mukarram, Ammad-ud-din Nasir, Abbas, Tanveer, Akram, Rabia
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container_end_page 31
container_issue SUPPL-1
container_start_page S28
container_title Pakistan Armed Forces medical journal
container_volume 73
creator Akhtar, Muhammad Talha
Akhtar, Muhammad Usama
Hussain, Syed Mukarram
Ammad-ud-din Nasir
Abbas, Tanveer
Akram, Rabia
description Objective: To compare the effects of preemptive intraperitoneal instillation of local anesthetic (lignocaine) with conventional instillation after the removal of gall bladder in elective laparoscopic cholecystectomy. Study Design: Quasi-experimental study. Place and Duration of study: General Surgical ward, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Apr 2018. Methodology: Patients fulfilling the inclusion criteria were randomly assorted into two groups. Group A received intraperitoneal lignocaine at the conventional timing where was in Group B local anesthetic was instilled preemptively at the time of insertion of trocar. Post operatively pain was measure on visual analogue scale at 3,6 and 12 hours. Results: Total of 184 patients were followed up post-operatively. Mean age of patients in Group A was 44.5±13.57 years and in Group B was 46.2±13.9 years. Mean post-operative pain on visual analogue scale score for Group A was 2.53±0.73 and that for Group B was 2.0±0.66 with p-value
doi_str_mv 10.51253/pafmj.v73iSUPPL-1.2868
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Study Design: Quasi-experimental study. Place and Duration of study: General Surgical ward, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Apr 2018. Methodology: Patients fulfilling the inclusion criteria were randomly assorted into two groups. Group A received intraperitoneal lignocaine at the conventional timing where was in Group B local anesthetic was instilled preemptively at the time of insertion of trocar. Post operatively pain was measure on visual analogue scale at 3,6 and 12 hours. Results: Total of 184 patients were followed up post-operatively. Mean age of patients in Group A was 44.5±13.57 years and in Group B was 46.2±13.9 years. Mean post-operative pain on visual analogue scale score for Group A was 2.53±0.73 and that for Group B was 2.0±0.66 with p-value&lt;0.01.Conclusion: The use of preemptive instillation of local anesthetic intraperitoneal was found better as compared to conventional timing of instillation in reducing the post-operative pain in elective and uncomplicated cases of laparoscopic cholecystectomy.</description><identifier>ISSN: 0030-9648</identifier><identifier>EISSN: 2411-8842</identifier><identifier>DOI: 10.51253/pafmj.v73iSUPPL-1.2868</identifier><language>eng</language><publisher>Rawalpindi: Knowledge Bylanes</publisher><subject>Abdomen ; Abdominal surgery ; Age ; Analgesics ; Bupivacaine ; Care and treatment ; Cholecystectomy ; Data analysis ; Gallstones ; Gynecology ; Laparoscopic surgery ; Laparoscopy ; Lidocaine ; Local anesthesia ; Pain ; Patients ; Postoperative period ; Quasi-experimental methods ; Surgical outcomes</subject><ispartof>Pakistan Armed Forces medical journal, 2023-08, Vol.73 (SUPPL-1), p.S28-31</ispartof><rights>COPYRIGHT 2023 Knowledge Bylanes</rights><rights>(c)2023 Pakistan Armed Forces Medical Journal</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Akhtar, Muhammad Talha</creatorcontrib><creatorcontrib>Akhtar, Muhammad Usama</creatorcontrib><creatorcontrib>Hussain, Syed Mukarram</creatorcontrib><creatorcontrib>Ammad-ud-din Nasir</creatorcontrib><creatorcontrib>Abbas, Tanveer</creatorcontrib><creatorcontrib>Akram, Rabia</creatorcontrib><title>Pre-Emptive Analgesia by Intraperitoneal Instillation of Lignocaine in Laparoscopic Cholecystectomy</title><title>Pakistan Armed Forces medical journal</title><description>Objective: To compare the effects of preemptive intraperitoneal instillation of local anesthetic (lignocaine) with conventional instillation after the removal of gall bladder in elective laparoscopic cholecystectomy. 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Mean post-operative pain on visual analogue scale score for Group A was 2.53±0.73 and that for Group B was 2.0±0.66 with p-value&lt;0.01.Conclusion: The use of preemptive instillation of local anesthetic intraperitoneal was found better as compared to conventional timing of instillation in reducing the post-operative pain in elective and uncomplicated cases of laparoscopic cholecystectomy.</abstract><cop>Rawalpindi</cop><pub>Knowledge Bylanes</pub><doi>10.51253/pafmj.v73iSUPPL-1.2868</doi><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Abdominal surgery
Age
Analgesics
Bupivacaine
Care and treatment
Cholecystectomy
Data analysis
Gallstones
Gynecology
Laparoscopic surgery
Laparoscopy
Lidocaine
Local anesthesia
Pain
Patients
Postoperative period
Quasi-experimental methods
Surgical outcomes
title Pre-Emptive Analgesia by Intraperitoneal Instillation of Lignocaine in Laparoscopic Cholecystectomy
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