Subphrenic bupivacaine for postoperative analgesia after laparoscopic cholecystectomy

The study was done on 20 patients categorized randomly into two equal groups. Group I received 20 ml of 0.25% bupivacaine in the right subdiaphragmatic area by the surgeon + 5 ml 0.25% bupivacaine infiltrated in the wound. Group II received diclofenac 75 mg postoperatively. Measures of pain score and visual analogue scale, were assessed also base line pulmonary functions. Results revealed significant reduction in pain score and visual analogue scale in group I as compared to group II with no significant difference in pulmonary functions