Effect of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain and duration of hospital stay in patients undergoing laparoscopic cholecystectomy

Objective: to assess the outcome of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain [visual analogue score] and duration of hospital stay [in hours] in patients undergoing laparoscopic cholecystectomy

Material and Methods: in this study, a total of 150 patients were recruited after fulfilling the inclusion/exclusion criteria to assess the outcome of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain [visual analogue score] and duration of hospital stay [in hours] in patients undergoing laparoscopic cholecystectomy

Results: most of the patients were between 41-50 years of age, mean age was 39.76+2.31, 44% [n=66] male and 56% [n=84] females. Stay at hospital [in hours] after laparoscopic cholecystectomy showed the 8.67% [n=1 3] stayed <9 hours, 89.33% [n=134] 9-18, 2% [n=3] 18- 24 hours and no patient with >24 hours, 8.67% [n=13] had excellent, 89.33% [n=134] had good and only 2%[n=3] had fair outcome [pain relief]

Conclusion: the assessment of outcome of intraperitoneal instillation of bupivacaine injection in terms of post-operative pain [visual analogue score] and duration of hospital stay [in hours] in patients undergoing laparoscopic cholecystectomy is found considerably good and may be promoted for use in routine clinical practices to make laparoscopic cholecystectomy more safe and effective

outcome comparison of the open Vs closed haemorrhoidectomy: a quasi-experimental study in tertiary care hospital

Objective: to compare open and closed haemorrhoidectomy for wound healing time, hospital stay and complications

Material and Methods: sixty patients fulfilling the inclusion criteria were selected for this study and divided into two groups. Group A was treated by open haemorrhoidectomy and group B by closed haemorrhoidectomy. Postoperatively patients were evaluated for wound healing time, hospital stay, early and late complications

Results: the mean wound healing time in closed haemorrhoidectomy group was 2.60+/-0.67 weeks. The mean wound healing time in op n haemorrhoidectomy group was 3.97+/-0.76 weeks. There were 2 [6.7%] patients of urinary retention in closed haemorrhoidectomy group and no patient in open haemorrhoidectomy group. There were 29 [96. 7%] patients of mild to moderate bleeding and 1 [3.3%] patient of severe bleeding in closed haemorrhoidectomy group. In open haemorrhoidectomy group, 1[3.3%] patient had no bleeding, 28 [93 .3%] patients had mild to moderate bleeding and 1 [3.3%] patient had severe bleeding. Among late complications at one month follow up, 1 [3.3%] patient developed anal stenosis in closed haemorrhoidectomy group. In open haemorrhoidectomy group there was 1 [3.3%] patient of anal stenosis and 1 [3.3%] patient of anal fissure

Conclusion: open haemorrhoidectomy has more reliable wound healing with lesser complications, though complete wound healing time is more as compared to the closed technique