THE EFFECT OF INTRAPERITONEAL INSTILLATION OF BUPIVACAINE ON POSTOPERATIVE PAIN AFTER SURGICAL LAPAROSCOPY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Egypt

2 Department of Obstetrics and Gynecology, Alexandria Faculty of Medicine, Alexandria University

3 Department Of Obstetrics & Gynecology, Faculty of Medicine, Alexandria University

4 Department of Anaethesia and postsurgical ICU, Faculty of Medicine, University of Alexandria.

5 Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Alexandria.

Abstract

Laparoscopic surgery is a novel method of access into the abdominal cavity. It involves the use of optics and electronic visualization equipment to replace a single large incision with several smaller incisions. Laparoscopy has an edge over conventional exploratory laparotomy, including a substantial minimizing in the size of the incision wound, decreased pain caused by the wound, decreased need for analgesia.
Despite that, post laparoscopic pain continues to impair quality of life and is a significant cause for postponed discharge or difficulty in returning to routine activities, up to 80% of patients endure significant pain and demand pain medication for their uncomfortable experience or distress.
Direct application of local anesthetic to the surgical area of interest can alleviate discomfort after laparoscopy, interest in using topical peritoneal medicines has grown during laparoscopic surgery. Hence the rationale of our study will be instilling local anesthetic- bupivacaine- in the peritoneal cavity in a certain dose to cause the blockade of peritoneal nerves conducting pain signals from our area of surgical interest in different laparoscopic procedures and study this effect on pain scores and patient satisfaction in the postoperative period.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 42-43

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