Tags

Type your tag names separated by a space and hit enter

Pain control after laparoscopic cholecystectomy. A prospective study.
Ann Ital Chir. 2020 Jun 10; 9AI

Abstract

AIM

The purpose of this study is to evaluate three different analgesic procedures after laparoscopic cholecystectomy for pain control.

MATERIAL OF STUDY

The study involved 183 patients who underwent laparoscopic cholecystectomy with the same technique for the induction and maintenance of the general anesthesia. They were divided into three different postoperative pain treatment groups: continuous infusion of Tramadol and Ketorolac with elastomeric pump, intraperitoneal topical instillation of Levobupivacaine, and intraperitoneal aerosolization of Levobupivacaine.

RESULTS

No differences were found in the demographics. shorter operating time was observed in group 1. Eight hours after surgery in groups 2 and 3, there was an increase in pain compared to patients in the first group. The request for postoperative analgesic assistance was lower in groups 1 and 2.

DISCUSSION

Various topical and intravenous ways for analgesic actions have been used to improve the pain control after laparoscopic procedures, individually and in comparison between them. The main result of our research is that the use of levobupivacaine employed in the topical intraperitoneal application anesthesia by instillation and nebulization, do not improve the postoperative pain in the first 24 hours after LC, compared with intravenous analgesic elastomeric pump.

CONCLUSIONS

Despite the positive data found in the literature, our observations have not shown a better pain control after laparoscopic cholecystectomy with the use of intraperitoneal analgesia compared to intravenous.

KEY WORDS

Gallstone disease, Gallbladder bladder, Laparoscopic cholecystectomy, Postoperative pain, Stones.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32543463

Citation

Cianci, Pasquale, et al. "Pain Control After Laparoscopic Cholecystectomy. a Prospective Study." Annali Italiani Di Chirurgia, vol. 9, 2020.
Cianci P, Tartaglia N, Fersini A, et al. Pain control after laparoscopic cholecystectomy. A prospective study. Ann Ital Chir. 2020;9.
Cianci, P., Tartaglia, N., Fersini, A., Dario, C., Rocco, P., Rosaria, M., Full, V. N., & Full, A. A. (2020). Pain control after laparoscopic cholecystectomy. A prospective study. Annali Italiani Di Chirurgia, 9.
Cianci P, et al. Pain Control After Laparoscopic Cholecystectomy. a Prospective Study. Ann Ital Chir. 2020 Jun 10;9 PubMed PMID: 32543463.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain control after laparoscopic cholecystectomy. A prospective study. AU - Cianci,Pasquale, AU - Tartaglia,Nicola, AU - Fersini,Alberto, AU - Dario,Cassano, AU - Rocco,Petta, AU - Rosaria,Menga, AU - Full,Vincenzo Neri, AU - Full,Antonio Ambrosi, Y1 - 2020/06/10/ PY - 2020/6/17/entrez JF - Annali italiani di chirurgia JO - Ann Ital Chir VL - 9 N2 - AIM: The purpose of this study is to evaluate three different analgesic procedures after laparoscopic cholecystectomy for pain control. MATERIAL OF STUDY: The study involved 183 patients who underwent laparoscopic cholecystectomy with the same technique for the induction and maintenance of the general anesthesia. They were divided into three different postoperative pain treatment groups: continuous infusion of Tramadol and Ketorolac with elastomeric pump, intraperitoneal topical instillation of Levobupivacaine, and intraperitoneal aerosolization of Levobupivacaine. RESULTS: No differences were found in the demographics. shorter operating time was observed in group 1. Eight hours after surgery in groups 2 and 3, there was an increase in pain compared to patients in the first group. The request for postoperative analgesic assistance was lower in groups 1 and 2. DISCUSSION: Various topical and intravenous ways for analgesic actions have been used to improve the pain control after laparoscopic procedures, individually and in comparison between them. The main result of our research is that the use of levobupivacaine employed in the topical intraperitoneal application anesthesia by instillation and nebulization, do not improve the postoperative pain in the first 24 hours after LC, compared with intravenous analgesic elastomeric pump. CONCLUSIONS: Despite the positive data found in the literature, our observations have not shown a better pain control after laparoscopic cholecystectomy with the use of intraperitoneal analgesia compared to intravenous. KEY WORDS: Gallstone disease, Gallbladder bladder, Laparoscopic cholecystectomy, Postoperative pain, Stones. SN - 2239-253X UR - https://www.unboundmedicine.com/medline/citation/32543463/Pain_control_after_laparoscopic_cholecystectomy._A_prospective_study DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.