Author/Editor		Cesar-Komar, Marija
Title		Analgesia after the laparoscopic operations - cholecystectomy
Type		članek
Source		In: Gullo A, editor. Proceedings book of the 13th anaesthesia symposium Alpe Adria; 2000 Sep 9-10; Trieste. Trieste: University medical school, Department of clinical science,
Publication year		2000
Volume		str. 147-55
Language		eng
Abstract		In a randomised, double-blind study we investigated the effect on postoperative pain of infiltration of the trocar port sites before surgery and the gallblader bed after surgery with plain bupivacaine 0.125% in two groups of ASA class 1-3 female patients undergoing elective laparascopic cholecystectomy (n=15 in each group). In the control group the ports and gallbladder beds were infiltrated with identical volumes of saline. All patients received intavenous tramadol, 100 mg, intra-operatively and a continuous infusion of tramadol 0.15-0.22 mg kg-1h-1 after surgery. Pain was evaluated at regular intervals using a 100-cm VAS score. Patients in the bupivacaine group had highly significantly lower VAS scores for the first 6 hours after surgery compared to the control group. The total consumption of tramadol was also significantly lower in the bupivacaine group. Patienta in this group were also more satisfied with their postoperative analgesia than those in the control group. In the control group there was a significant correlation between the first recorder VAS after surgery and the area of the gallblader bed. No correlation was found in the bupivacaine group. We conclude that infiltration of both the trocar sites and the gallbladder bed with a low concentration of bipivacaine significantly reduce pain after laparoscopic cholecystectomy.
Descriptors		CHOLECYSTECTOMY, LAPAROSCOPIC ANESTHESIA PAIN, POSTOPERATIVE TRAMADOL