conclusions we conclude that intraperitoneal hydrocortisone instillation caused leukocytosis and is thus suggested not to be used in immune-compromised patients. results the study was completed by 120 patients. patients who received intraperitoneal hydrocortisone and hydrocortisone plus bupivacaine had higher white blood cell (wbc) count (p < 0.0001). the patients were similar with respect to d...

BACKGROUND Postoperative pain is a major complaint following laparoscopic cholecystectomy. OBJECTIVES The aim of this study was to compare the impact of intraperitoneal hydrocortisone with intraperitoneal bupivacaine on pain relief after laparoscopic cholecystectomy. PATIENTS AND METHODS In a double blind clinical trial, 63 candidates for laparoscopic cholecystectomy were randomly allocated...

BACKGROUND AND OBJECTIVES The study of the vasomotor effect of local anesthetics (LA) is of paramount importance for the analysis of the occurrence of cardiotoxic and neurotoxic effects, and drug interactions. In order to find a safer drug than racemic bupivacaine, this study aimed to analyze digital infrared imaging of acute vasomotor effect of bupivacaine and levobupivacaine in rats intraperi...

Abstract Background This study aimed to compare the duration of postoperative analgesia using intraperitoneal bupivacaine plus neostigmine or alone. In this randomized controlled trial, we included 56 adult patients scheduled for elective laparoscopic cholecystectomy operation. Patients were randomly allocated into two groups group (B group) who received 50 ml 0.25% alone and bupivacaine-neosti...

Background: Laparoscopic surgery is associated with considerable postoperative pain, though it is less compared to open surgery. Post laparoscopic pain results from phrenic nerve irritation caused by residual gas, stretching of the intraabdominal cavity and peritoneal inflammation. The Modified Rectus Sheath Block (MRSB) is fairly easy and reliable procedure when performed using ultrasound guid...

Physical and psychosocial functioning following motor vehicle trauma The relationship between posttraumatic stress disorder and trauma cognitions Infections and treatment of wounds in survivors of the 2004 Tsunami in Thailand Field hospital analgesia The evolution of pain management in the critically ill trauma patient What is the ideal pre-hospital analgesic? Continuous infusion of local...

background pain following laparoscopy could be due to different causes requiring effective postoperative analgesia. objectives in the present study, we evaluated the combined effect of intraperitoneal infiltration of bupivacaine-meperidine versus intravenous infusion of paracetamol on pain relief after diagnostic gynecologic laparoscopy. conclusions intraperitoneal infiltration of bupivacaine w...