Pain relief after operative laparoscopy

ABSTRACT

This study is aimed to evaluate the effect of infiltration analgesics with intrapenitoneal Lidocaine and intraincisional bupivacain on postoperative pain relief after operative laparoscopy. For this study 40 patients needing operative laparoscopy for various indications were chosen. 20 cases received infiltration analgesics and 20 patients taken as control received no additional drug after general anaesthesia. At the complain of surgery, 20 ml of 0.5% Lidocaine were instilled intraperitoneally and 5 ml of 0.5% bupivacaine intraincisional before suturing of entry sites. McGill present pain intensity scores for pain, and narcotics use in the recovery room were less in the first two hours after operation for those patients who received the infiltration analgesics but there was no difference between the two groups 6 hours postoperative. It is concluded from this study that intraperitoneal Lidocain and intraincisional bupivacain are effective in relieving pain in the first two hours after operative laparoscopy