Role of local anesthetic infiltration of port sites in laparoscopic cholecystectomy in reducing postoperative pain and opioid consumption

Abstract

n the period from March 2021 to September 2021 fifty patients who underwent laparoscopic cholecystectomy were randomly allocated to one of two groups and comparative study was done,In the Bupivacaine group (A), after skin preparation and before port insertion, 20 ml of 0.25% bupivacaine solution was infiltrated through the abdominal wall 4ml around each port site. Postoperatively, pain score using VAS score, time of Rescue analgesic and total rescue dose was calculated. The results showed that there was decrease in pain intensity in bupivacaine group compared to control group with statistically significant difference, and there was delay in the time of rescue analgesia and total doses of rescue analgesia in bupivacaine group compared to control group with a statistically significant difference. We concluded that port site infiltration of bupivacaine in laparoscopic cholecystectomy successfully decrease post-operative pain during first 6 hour and delay the time of rescue analgesia.