introduction: shorter hospital stay and less pain in comparison to open surgery considered to be major benefits for laparoscopic cholecystectomy. we compared the effect of intraperitoneal hydrocortisone plus bupivacaine with bupivacaine alone on pain relief following laparoscopic cholecystectomy.  methods: sixty two patients participated in this double-blind, randomized clinical trial. patients...

results sixty patients completed the study. patients in the hydrocortisone group had no statistically significant abdominal and shoulder pain scores compared to the bupivacaine group. the patients were similar regarding postoperative analgesic requirements, return of bowel function, nausea and vomiting. no adverse effect was detected in either group. background postoperative pain is a major com...

 Introduction: shorter hospital stay and less pain in comparison to open surgery considered to be major benefits for laparoscopic cholecystectomy. We compared the effect of intraperitoneal hydrocortisone plus bupivacaine with bupivacaine alone on pain relief following laparoscopic cholecystectomy.  Methods: Sixty two patients participated in this double-blind, randomized clinical trial. Pati...

The type of pain after laparoscopic surgery differs considerably from that seen after laparotomy. Whereas laparotomy results mostly in parietal pain, patients after laparoscopic cholecystectomy complain more of visceral pain results from the stretching of intraabdominal cavity, peritoneal inflammation and phrenic nerve irritation caused by residual carbon dioxide in the peritoneal cavity. Intra...

background: this randomized controlled study was designed to compare the postoperative analgesic efficacy of intraperitoneal ketamine versus bupivacaine in patients undergoing laparoscopic cholecystectomy. methods: we randomly divided 60 patients undergoing elective laparoscopic cholecystectomy into two groups. the intervention group patients received intraperitoneal ketamine (0.5 mg/ kg) dilut...

BACKGROUND AND AIMS In laparoscopic surgeries, intraperitoneal instillation of local anaesthetics and opioids is gaining popularity, for better pain relief. This study compared the quality and duration of post-operative analgesia using intraperitoneal tramadol plus bupivacaine (TB) or magnesium plus bupivacaine (MB). METHODS In this study, 186 patients undergoing laparoscopic cholecystectomy ...

BACKGROUND Laparoscopic cholecystectomy is characterized by a short hospital stay. Hence, pain control on the day of surgery is increasingly important. The aim of this study was to evaluate the effect of intraperitoneal bupivacaine on pain relief following laparoscopic cholecystectomy. METHODS Sixty patients undergoing elective laparoscopic cholecystectomy were prospectively randomized into 2...

abstract background: postoperative pain is an important surgical problem. recent studies in pain pathophysiology have led to the hypothesis that with perioperative administration of analgesics (pre-emptive analgesia) it may be possible to prevent or reduce postoperative pain. this study was planned to investigate the efficacy of pre-emptive analgesia on postoperative pain after major gynecologi...

.. Introduction: Laparoscopic cholecystectomy is the treatment of choice for symptomatic cholelithiasis. Intraperitoneal instillation of bupivacaine is one of the methods used to improve pain relief after laparoscopic cholecystectomy. Objective: To compare the mean pain score after intraperitoneal instillation of bupivacaine with placebo during laparoscopic cholecystectomy. Study Design: Random...

BACKGROUND Postoperative abdominal and shoulder pain are the most common complaints after elective laparoscopic cholecystectomy. Postoperative pain is multifactorial in origin, and therefore multimodal therapy may be needed to optimize pain relief. METHODS We conducted a double-blind study where patients were randomly allocated to 1 of 5 groups of 20 patients each. Statistical significance wa...