الفهرس 
Anatomy of the gallbladderOnly 14 pages are availabe for public view
 |  | from | 103 |  |  |
| | | from | 103 | | |
Abstract
to evaluate the role of intraperitoneal and port site use of local anaesthetic in laparoscopic cholecystectomy in postoperative pain relief.
Background:
The ease of use and safety of local anesthetics LA is well recognized, and collectively they serve as one of the most important classes of drugs in perioperative care.
Laparoscopic strategies for managing intraabdominal pathologies offer significant benefits compared with conventional approaches. Of interest are reports of decreased postoperative pain, resulting in shorter hospitalization and earlier return to normal activity. However, many patients still require strong analgesia postoperatively. This study analyzed the intraperitoneal and port site use of local anaesthetic and its ability to reduce postoperative pain.
Methods: For this study, 60 patients undergoing laparoscopic cholecystectomy were recruited and divided randomly into three groups: control (n = 20), intraperitoneal local anaesthetic irrigation of bladder bed (n = 20), intraperitoneal and port site local anaesthetic (n = 20). All the patients had standard preoperative, intraoperative, and postoperative care. Pain scores were recorded by the physician postoperatively using a standard 0 to
10 pain scoring scale. In addition, peristalsis auscultation, passing flatus, and movement from bed were recorded.
Results: Intraperitoneal and port site local anaesthetic use significantly reduced postoperative pain in comparison with all other treatments (p < 0.05).
Conclusion: Intraperitoneal and port site local anesthetic is an effective method for controlling postoperative pain. It significantly helped to reduce opiate use and contributed to rapid mobilization, leading to short hospitalization and possible reduction in treatment cost.