ABSTRACT
This study included 120 patients class l,ll,ll according to the American society of anesthesiologists [ASA] aged 25-60 years, who were scheduled for different kinds of laparoscopic procedures in prince rashed ben-al hassan hospital during the period from 15 january to 30 november 1997. the patients were divided randomly into four equal groups in a double blind study. Bupivacaine 20 ml, 0.5%, was given intraperitoneally to group A in the head down position, and to group B in the supine position. Group C received 20 ml normal saline intraperitoneally as control. Group D received 20 ml of plain Bupivacaine 0.5% infiltrated around the wounds. All injections were given at the end of surgery. We assessed the patients on awakening and then after 30 minutes, 1 hour, 3 hour, and for 24 hours, using pain scores of 1-5 pain scores on awakening, after 30 minutes and three hour were significantly lower in group D than in group A. no differences between B and C group. Infiltration aroud the wound with bupivacaine is very useful analgesis method, and is ideal for laparoscopic procedures up to 5 hours