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Related Experiment Videos

Randomized, controlled trial of bupivacaine injection to decrease pain after laparoscopic cholecystectomy.

D Dath1, A E Park

  • 1Department of Surgery, St. Joseph's Hospital, McMaster University, Hamilton, Ont.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|August 25, 1999
PubMed
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Intraoperative bupivacaine instillation significantly reduced early postoperative pain after laparoscopic cholecystectomy. Patients receiving bupivacaine were more likely to choose same-day discharge, though narcotic use remained similar.

Area of Science:

  • Surgical pain management
  • Anesthesiology
  • Minimally invasive surgery

Background:

  • Postoperative pain is a significant concern following laparoscopic cholecystectomy.
  • Effective pain management strategies are crucial for patient recovery and same-day discharge.
  • Local anesthetics offer a potential solution for intraoperative pain control.

Purpose of the Study:

  • To evaluate the efficacy of intraoperative bupivacaine instillation in reducing early postoperative pain.
  • To assess the impact of bupivacaine on postoperative narcotic requirements.
  • To determine if bupivacaine influences patient choice for same-day discharge after laparoscopic cholecystectomy.

Main Methods:

  • Double-blind, randomized, controlled trial involving 97 patients undergoing laparoscopic cholecystectomy.

Related Experiment Videos

  • Bupivacaine with epinephrine was instilled into port sites in the intervention group.
  • Pain was assessed using Visual Analogue Scale (VAS) scores, and patient discharge preferences and narcotic usage were recorded.

    • Main Results:

    • Bupivacaine significantly reduced VAS pain scores at 2 and 6 hours postoperatively compared to the control group (p < 0.05).
    • A higher proportion of patients in the bupivacaine group opted for same-day discharge (p = 0.034).
    • No significant difference in postoperative narcotic usage was observed between the groups.

    Conclusions:

    • Intraoperative bupivacaine instillation into port sites is an effective method for managing early postoperative pain after laparoscopic cholecystectomy.
    • This intervention facilitates same-day discharge by improving pain control.
    • Routine use of bupivacaine should be considered standard practice for elective laparoscopic cholecystectomies.