INTRAPERITONEAL INSTILLATION OF BUPIVACAINE FOR ANALGESIA AFTER LAPAROSCOPIC STERILISATION: A CASE CONTROL STUDY

Area of Science:

• Anesthesiology
• Gynecologic Surgery

Background:

• Postoperative pain management is crucial for patient recovery and satisfaction after laparoscopic procedures.
• Laparoscopic sterilization, while minimally invasive, can still cause significant postoperative discomfort.

Purpose of the Study:

• To evaluate the efficacy of intraperitoneal bupivacaine instillation for postoperative analgesia following laparoscopic sterilization.
• To compare pain scores and analgesic requirements between patients receiving bupivacaine and a control group.

Main Methods:

• A randomized controlled study involving 80 patients undergoing laparoscopic sterilization.
• Group I (n=40) received intraperitoneal bupivacaine (0.75ml/kg of 0.125%) at surgery.
• Group II (n=40) served as controls without bupivacaine. Pain was assessed using the Visual Analog Scale (VAS) at 1, 2, 4, 6, and 24 hours post-surgery.

Main Results:

• Mean VAS scores were significantly lower in the bupivacaine group at 1, 2, and 4 hours post-surgery (p<0.05).
• Rescue analgesia was required in 20% of the bupivacaine group versus 52.5% in the control group (p<0.001).
• No complications or side effects were observed in the bupivacaine-treated group.

Conclusions:

• Intraperitoneal bupivacaine instillation is a safe and effective method for providing immediate postoperative analgesia after laparoscopic sterilization.
• This technique significantly reduces pain and the need for supplementary analgesics, enhancing patient satisfaction.
• The findings support the routine use of intraperitoneal bupivacaine to improve the patient experience following laparoscopic sterilization.