Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy

Authors : Oğuz Uğur Aydın, Lütfi Soylu

Pages : 326-332

Doi:10.18621/eurj.345129

View : 16 | Download : 10

Publication Date : 2018-10-04

Article Type : Research Paper

Abstract :Objectives: Despite the advantages of laparoscopic cholecystectomy insert ignore into journalissuearticles values(LC); , postoperative pain remains a major complaint for many patients. In this study, in patients undergoing LC, the application of LC via incisional bupivacaine and low inflation pressure, alone or combined, and a comparison of the effects on postoperative pain has been purposed. Methods: Patients were randomly assigned into the following 4 groups: the standard pressure insert ignore into journalissuearticles values(SP); group insert ignore into journalissuearticles values(n = 30);; patients with an intraabdominal insufflation pressure of 12 mmHg, where bupivacaine application was not performed at the trocar locations. The SP+ local anesthetic insert ignore into journalissuearticles values(LA); insert ignore into journalissuearticles values(SP+LA); group insert ignore into journalissuearticles values(n = 30);; patients with an intraabdominal insufflation pressure of 12 mmHg, where bupivacaine application was performed at the trocar locations . The low pressure insert ignore into journalissuearticles values(LP); group insert ignore into journalissuearticles values(n = 30);; patients with an intraabdominal insufflation pressure of 8 mmHg , where bupivacaine application was not performed at the trocar locations . The insert ignore into journalissuearticles values(LP+LA); group insert ignore into journalissuearticles values(n = 30);; patients with an intraabdominal insufflation pressure of 8 mmHg, where bupivacaine application was performed at the trocar locations . Postoperative pain was evaluated using the v isual analogous scale insert ignore into journalissuearticles values( VAS ); . Results : When the relationships between the VAS scores, gender, age, and American Society of Anesthesiologists classification were evaluated, no significant relationships between the groups were observed insert ignore into journalissuearticles values( p > 0.05);. A significant relationship between the groups was detected with regards to the VAS scores, 1 st analgesic application, 2 nd analgesic application, and patients’ satisfaction insert ignore into journalissuearticles values( p < 0.05);. Conclusions: The combination of low insufflation pressure with intrafacial preincisional local anesthetic infiltration in post-LC pain palliation is thought to be more effective and applicable. 
Keywords : Laparoscopic cholecystectomy, local anesthetic, low pressure