Original Research Article
Year: 2016 | Month: October | Volume: 6 | Issue: 10 | Pages: 63-67
Efficacy of Intraperitoneal Bupivacaine for Postoperative Analgesia
Binil Isaac Mathew1, Thasleem Arif K1, Vijish Venugopal2
1Assistant Professor, 2Professor and Head,
Department of Anaesthesiology, KMCT Medical College, Mukkam, Calicut, Kerala.
Corresponding Author: Binil Isaac Mathew
ABSTRACT
Introduction: The intraperitoneal route of analgesia has been studied over the years for effective pain relief during various laparoscopic surgeries, but there were conflicting reports of its use.
Materials and Methods: This study was undertaken to compare the efficacy and safety of postoperative analgesic effect of 10 ml intraperitoneal bupivacaine 0.125% and diclofenac 100 mg per rectal in patients posted for laparoscopic tubal ligation. 60 patients with ASA status I and II, undergoing laparoscopic tubal ligation were randomly allocated into two groups: group I (Intraperitoneal Bupivacaine) and group II (Diclofenac Suppository) with 30 patients in each. After the commencement of the procedure, group I patients received 10 ml bupivacaine 0.125% infiltration through the cannula after the laparoscope was removed. Whereas, Group II patients received Diclofenac Suppository 100 Mg.
Results: Consumption of rescue analgesics was considerably higher in group II. 12 patients from group II patients required rescue analgesics, where as in group I only two patients demanded post operative analgesia. Mean pain score (PAVS) of both the groups for 6 hours were analyzed statistically. Pain score of group I patients was significantly lower than group II. (P Value 0.0001)
Conclusion: Administration of 10 ml 0.125% intraperitoneal bupivacaine is safe and effective method for pain relief in the immediate postoperative period after Laparoscopic Tubal Ligation.
Key words: Laparoscopic Tubectomy, post-operative Pain Management, Intra peritoneal instillation, Local Anaesthetics, Bupivacaine, comparison, conventional NSAIDs.