Bupivacaine irrigation of the gallbladder bed is effective in postoperative pain management after laparoscopic cholecystectomy
Introduction: Laparoscopic cholecystectomy, one of the most common operations performed by surgeons is now considered the gold standard of therapy for symptomatic cholelithiasis and chronic cholecystitis. The administration of local anesthetic, bupivacaine can be helpful in reducing the negative effect of postoperative pain after gall bladder surgery. AIM: To evaluate the post operative pain in laparascopic cholecystectomy patients using bupivacaine irrigation over gallbladder surgical bed. Materials and Methods: A randomized control study was conducted in a tertiary care hospital with sample size of 170 patients, aged between 30 50 years. The patients were divided into two Groups A Saline, B 0.5 Bupivacaine irrigation; 85 patients in each group underwent elective and emergency laparoscopic cholecystectomy. Pain was assessed at 0, 6, 12, and 24 hours by using a visual analog scale (VAS) Statistical analysis was performed using a 2 tailed t test and chi square analysis; significance was determined as P<.05. Results: Compared to group A, group B had better postoperative pain relief in the first twenty four hours with no complications. Conclusions: Gall bladder bed irrigation with 0.5% Bupivacaine is safe and effective method of reducing postoperative pain for cholecystectomy.