Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bupivacaine instillation into gallbladder bed after laparoscopic cholecystectomy: does it decrease shoulder pain?

K I Gharaibeh1, T M Al-Jaberi

  • 1Department of General Surgery, Princess Basma Teaching Hospital, Faculty of Medicine, University of Science & Technology, Irbid, Jordan. kiag@go.com.jo

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|July 7, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Inversion of the normal appendix during the course of abdominal surgery: A procedure not to be forgotten.

Saudi medical journal·2016
Same author

Breast cancer in the North of Jordan with special emphasis on descriptive epidemiology.

Saudi medical journal·2016
Same author

Torsion of abdominal appendages presenting with acute abdominal pain.

Annals of Saudi medicine·2007
Same author

Laparoscopic cholecystectomy for gallstones: a comparison of outcome between acute and chronic cholecystitis.

Annals of Saudi medicine·2007
Same author

Feasibility of laparoscopic cholecystectomy in situs inversus.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2001
Same author

To ligate or not to ligate the hernial sac in adults?

Saudi medical journal·2001
Same journal

Pediatric Robotic Surgery: From Observation to Autonomy in a Motion-Based Assessment of Learning Curve Using a Dual-Console System.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2026
Same journal

Brain Neuromodulation via Endoscopic Gastric Implant Improves Glycemic Control in Insulin-Dependent Type-2 Diabetes: First-in-Human Feasibility and Autonomic Response Study.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2026
Same journal

Incidence and Risk Factors for Incisional Hernia Development in Liver Transplant Recipients: A Systematic Review and Proportional Meta-Analysis.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2026
Same journal

Magnetic Side-to-Side Duodeno-Ileostomy with the MagDI System: A Technical Description of the Initial Experience in Argentina.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2026
Same journal

Laparoscopic Management of Pediatric Noncommunicating Hydrocele: A Comparative Study of Hydrocelectomy Versus Aspiration.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2026
Same journal

Endoloop Fenestration Versus Barbed Suture Reconstitution in Laparoscopic Subtotal Cholecystectomy: A Comparative Analysis of Complications and Outcomes.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2026
See all related articles

Post-laparoscopic cholecystectomy shoulder pain is common. Instilling local bupivacaine into the gallbladder bed significantly reduces this pain, improving patient recovery.

Area of Science:

  • General Surgery
  • Pain Management
  • Minimally Invasive Procedures

Background:

  • Post-laparoscopic cholecystectomy shoulder pain affects over 60% of patients.
  • This pain can impede a patient's return to normal activities.
  • The exact cause of referred shoulder pain remains unclear.

Purpose of the Study:

  • To investigate the efficacy of local bupivacaine instillation in reducing shoulder pain after laparoscopic cholecystectomy.
  • To explore the relationship between the surgical site and referred shoulder pain.

Main Methods:

  • A randomized controlled trial involving 75 patients with chronic cholecystitis undergoing laparoscopic cholecystectomy.
  • Group I (37 patients) received 10 mL of 0.25% bupivacaine instilled into the gallbladder bed and Calot's triangle.

Related Experiment Videos

  • Group II (38 patients) served as the control group without bupivacaine instillation.

    • Main Results:

    • Only 16% of patients in the bupivacaine group (Group I) experienced shoulder pain.
    • In contrast, 60.5% of patients in the control group (Group II) reported shoulder pain.
    • This difference was statistically significant (P = 0.0002).

    Conclusions:

    • The raw surface area of the excised gallbladder contributes to post-cholecystectomy shoulder pain.
    • Local administration of bupivacaine is an effective method for alleviating shoulder pain following laparoscopic cholecystectomy.