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Updated: Feb 9, 2026
14:56
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Post operative pain control in percutaneous nephrolithotomy.
Zeeshan Arshad1, Syed Zafar Zaidi1, Anila Jamshaid1
1The Indus Hospital, Karachi, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|June 10, 2018
Summary
Peri-tubal bupivacaine infiltration effectively reduced pain after percutaneous nephrolithotomy. This study found lower pain scores and reduced analgesic use in patients receiving bupivacaine compared to saline.
Area of Science:
- Urology
- Anesthesiology
- Surgical Pain Management
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stones.
- Post-operative pain is a significant concern following PCNL.
- Effective pain management strategies are crucial for patient recovery and satisfaction.
Purpose of the Study:
- To evaluate the efficacy of peri-tubal local anesthetic infiltration in managing post-operative pain after PCNL.
- To compare pain levels and analgesic consumption between patients receiving bupivacaine and those receiving normal saline.
Main Methods:
- A case-control study involving 68 patients undergoing PCNL.
- Patients were randomized into two equal groups: cases (bupivacaine infiltration) and controls (normal saline infiltration).
- Post-operative pain was assessed using the Visual Analogue Scale (VAS).
Main Results:
- The bupivacaine group (cases) showed significantly lower post-operative pain scores at 6 and 12 hours compared to the control group (p<0.05).
- Total analgesic consumption and demand for pain medication were significantly reduced in the bupivacaine group (p<0.05).
Conclusions:
- Peri-tubal infiltration with 0.25% bupivacaine is an effective method for reducing post-operative pain after PCNL.
- Bupivacaine infiltration offers a safe and efficient approach to enhance pain relief and decrease analgesic requirements in PCNL patients.
Keywords:
Post PCNL Pain relief.
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