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 |
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container_title | Pakistan Armed Forces medical journal |
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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 |
format | Article |
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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<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.
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<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><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>Age</subject><subject>Analgesics</subject><subject>Bupivacaine</subject><subject>Care and treatment</subject><subject>Cholecystectomy</subject><subject>Data analysis</subject><subject>Gallstones</subject><subject>Gynecology</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Lidocaine</subject><subject>Local anesthesia</subject><subject>Pain</subject><subject>Patients</subject><subject>Postoperative period</subject><subject>Quasi-experimental methods</subject><subject>Surgical outcomes</subject><issn>0030-9648</issn><issn>2411-8842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptUdtKJDEQDYvCDuo32LDPPebSuT0Og7sKDQ6ozyGdrh4zdHd6kyjM3xsv7CJY9VAXzik4dRC6JHjNCeXsarHDdFi_SObvH3e7tiZrqoT6gVa0IaRWqqEnaIUxw7UWjfqJLlI64BKc0QbzFXK7CPX1tGT_AtVmtuMekrdVd6xu5xztAtHnMIMdy5yyH0ebfZirMFSt38_BWT9D5eeqtYuNIbmweFdtn8II7pgyuBym4zk6HeyY4OKznqHH39cP25u6vftzu920taOE5VoyyxSTrOc9ONaDlrp0otOEdFgOAmtuXc95xyWWCjiIRkumdMNI03fQszP06-PuEsPfZ0jZHMJzLJqSoUpSIrTQ7D9qb0cwfh5C0ekmn5zZSCG5kJTpglp_gyrZw-Rd-cjgy_4LQX4QXHlDijCYJfrJxqMh2Lx7Zd69Mv-8MsS8ecVeAWoLikw</recordid><startdate>20230831</startdate><enddate>20230831</enddate><creator>Akhtar, Muhammad Talha</creator><creator>Akhtar, Muhammad Usama</creator><creator>Hussain, Syed Mukarram</creator><creator>Ammad-ud-din Nasir</creator><creator>Abbas, Tanveer</creator><creator>Akram, Rabia</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20230831</creationdate><title>Pre-Emptive Analgesia by Intraperitoneal Instillation of Lignocaine in Laparoscopic Cholecystectomy</title><author>Akhtar, Muhammad Talha ; Akhtar, Muhammad Usama ; Hussain, Syed Mukarram ; Ammad-ud-din Nasir ; Abbas, Tanveer ; Akram, Rabia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c213t-73a38373d5dec3de9795de6b911b07f6095acd55b57078e5e64973894314dbed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Abdominal surgery</topic><topic>Age</topic><topic>Analgesics</topic><topic>Bupivacaine</topic><topic>Care and treatment</topic><topic>Cholecystectomy</topic><topic>Data analysis</topic><topic>Gallstones</topic><topic>Gynecology</topic><topic>Laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Lidocaine</topic><topic>Local anesthesia</topic><topic>Pain</topic><topic>Patients</topic><topic>Postoperative period</topic><topic>Quasi-experimental methods</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Publicly Available Content database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Pakistan Armed Forces medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akhtar, Muhammad Talha</au><au>Akhtar, Muhammad Usama</au><au>Hussain, Syed Mukarram</au><au>Ammad-ud-din Nasir</au><au>Abbas, Tanveer</au><au>Akram, Rabia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre-Emptive Analgesia by Intraperitoneal Instillation of Lignocaine in Laparoscopic Cholecystectomy</atitle><jtitle>Pakistan Armed Forces medical journal</jtitle><date>2023-08-31</date><risdate>2023</risdate><volume>73</volume><issue>SUPPL-1</issue><spage>S28</spage><epage>31</epage><pages>S28-31</pages><issn>0030-9648</issn><eissn>2411-8842</eissn><abstract>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<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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