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Volume 7 Issue 8 (August, 2019)

Original Articles

To compare the effects of intraperitoneal instillation of ropivacaine at various intraoperative stages for post operative analgesia in patients undergoing laparoscopic cholecystectomy
Kuldeep Raina, Deepak Kumar Bajaj, Harjinder Kohli , Kiran Patil

Background: The present study aims to standardize the timing of intraperitoneal instillation of ropivacaine in laparoscopic cholecystectomy. Materials & Methods: The present study was conducted on 90 patients who were to undergo elective laparoscopic cholecystectomy. Patients were divided into 3 groups of 30 each. Group A: patients received 20 ml of 0.5% ropivacaine instillation intraperitoneally just after the insertion of laparoscopic ports at the beginning of surgery. Group B: patients received 20 ml of 0.5% ropivacaine instillation intraperitoneally just before the removal of laparoscopic ports at the end of the surgery. Group C: patients received 10ml of 0.5% ropivacaine instillation intraperitoneally just after the insertion of laparoscopic ports at the beginning of surgery and 10ml of 0.5% ropivacaine instillation intraperitoneally just before the removal of  laparoscopes at the end of  the surgery. Results: Maximum patients were seen in age group >60 years (9) in group A, 51-60 years (11) in group B and 41-50 years (10) in  group C. Pruritis, respiratory depression and allergic reaction was not present in any group. Urinary retention was present in 1 patient in group A and B while 2 in group C. Fever was present 1 patient each in group A and C, morphine was given to 9 in group A, 15 in group B and 39 in group C. Inter- group comparison was non- significant (P> 0.05). A non- significant difference in mean pulse rate in all groups (P> 0.05). Conclusion: Authors found that ropivacaine instillation in all doses found to be equally effective in all groups.
Key words: Laparoscopic cholecystectomy, Ropivacaine instillation, Pruritis

Received: 13 March, 2019                                         Revised:  10 June 2019                             Accepted: 12 June 2019

Corresponding author: Dr. Deepak Kumar Bajaj, Consultant, Anaesthesia Department, Fortis JK Hospital, Udaipur, Rajasthan, India

This article may be cited as: Raina K, Bajaj D, Kohli H , Patil K. To compare the effects of intraperitoneal instillation of ropivacaine at various intraoperative stages for post operative analgesia in patients undergoing laparoscopic cholecystectomy. J Adv Med Dent Scie Res 2019;7(8): 46-50.

 
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