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The Role of local Anesthesia Instillation in Pain Alleviation Post Laparoscopy

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Last updated: 03 Jan 2025

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Abstract

Background: Gynecological laparoscopy is now becoming a more popular technique for diagnosis and treatment of infertility cases; however gynecological laparoscopy is usually followed by Post-operative pain which may be attributed to small incision in abdominal wall or as a result of diaphragmatic irritation by inflating gases. Aim of the Study:  was to assess the role of local anesthesia instillation in pain relief after laparoscopy. Patients and methods: the present study was a randomized trial study performed on 146 women aged 20-35 years, admitted to Ain Shams University hospitals. Patients were split into 2 equal groups, Group(A): further subdivided into A1 and A2 whom undergone diagnostic and operative laparoscopy respectively- patients administrated 20ml of 0.25% of Bupivacaine instilled intraperitoneal-and Group (B): further subdivided into B1 and B2 -whom undergone diagnostic and operative laparoscopy respectively-Patients administrated 20ml of 0.75% of Ropivacaine instilled intra-peritoneal. Vital signs and Pain scores were measured preoperatively, immediate postoperative, 1 hours, 2 hours, 4 hours, 8 hours, 12 hours postoperatively. Data was collected, tabulated, then analyzed using IBM© SPSS© Statistics version 22 (IBM© Corp., Armonk, NY). Results: administration of 20mL of Ropivacaine 0.75% at the end of technique gave pain relief for four hours in group B1 and pain relief for three hours in group B2, associated with an increase in heart rate and blood pressure for two hours in group B1 and B2 for three hours. Conclusion: instillation of local anesthetic after laparoscopy promotes pain relief post operatively and further minimizes the postoperative hospital stay.  

DOI

10.12816/0039685

Keywords

Laparoscopy, ropivacaine, Bupivacaine, local anesthesia, Postoperative Pain, intraperitoneal instillation

Authors

First Name

Christien Magdy Fouad

Last Name

Zaki

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University

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First Name

Mohammad Abd El Hameed

Last Name

Nasr Al Deen

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University

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City

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Orcid

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First Name

Ahmed Mohamed

Last Name

Mamdouh

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University

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Orcid

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Volume

68

Article Issue

3

Related Issue

2617

Issue Date

2017-07-01

Receive Date

2018-09-14

Publish Date

2017-07-01

Page Start

1,425

Page End

1,435

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_13603.html

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https://ejhm.journals.ekb.eg/service?article_code=13603

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20

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Role of local Anesthesia Instillation in Pain Alleviation Post Laparoscopy

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Article

Created At

22 Jan 2023