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- Title
Pain relief from combined wound and intraperitoneal local anesthesia for patients who undergo laparoscopic cholecystectomy.
- Authors
Yeh, Chun-Nan; Tsai, Chun-Yi; Cheng, Chi-Tung; Wang, Shang-Yu; Liu, Yu-Yin; Chiang, Kun-Chun; Hsieh, Feng-Jen; Lin, Chih-Chung; Jan, Yi-Yin; Chen, Miin-Fu
- Abstract
<bold>Background: </bold>Laparoscopic cholecystectomy (LC) has become the treatment of choice for gallbladder lesions, but it is not a pain-free procedure. This study explored the pain relief provided by combined wound and intraperitoneal local anesthetic use for patients who are undergoing LC.<bold>Methods: </bold>Two-hundred and twenty consecutive patients undergoing LC were categorized into 1 of the following 4 groups: local wound anesthetic after LC either with an intraperitoneal local anesthetic (W + P) (group 1) or without an intraperitoneal local anesthetic (W + NP) (group 2), or no local wound anesthetic after LC either with intraperitoneal local anesthetic (NW + P) (group 3) or without an intraperitoneal local anesthetic (NW + NP) (group 4). A visual analog scale (VAS) was used to assess postoperative pain. The amount of analgesic used and the duration of hospital stay were also recorded.<bold>Results: </bold>The VAS was significantly lower immediately after LC for the W + P group than for the NW + NP group (5 vs. 6; p = 0.012). Patients in the W + P group received a lower total amount of meperidine during their hospital stay. They also had the shortest hospital stay after LC, compared to the patients in the other groups.<bold>Conclusion: </bold>Combined wound and intraperitoneal local anesthetic use after LC significantly decreased the immediate postoperative pain and may explain the reduced use of meperidine and earlier discharge of patients so treated.
- Publication
BMC Surgery, 2014, Vol 14, Issue 1, p28
- ISSN
1471-2482
- Publication type
journal article
- DOI
10.1186/1471-2482-14-28