Post-Operative Pain Score in Port Site Infiltration of Local Anesthetic after Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis

Abstract

Objective: To determine the mean post-operative pain score in port site infiltration of local anesthetic after laparoscopic cholecystectomy for symptomatic cholelithiasis. Study Design: Prospective Study. Settings: Study was conducted in DHQ Hospital Faisalabad. Period: 15 December, 2016 to 15 May, 2017. (6 Months). Methodology: Due procedure for approval of ethical committee to conduct this study was adopted, while only OPD cases with the condition to fulfillment of inclusion criteria were the population of this study. Laparoscopic cholecystectomy was performed under general anesthesia by consultant surgeon. Patients were given 20ml of 1.0% levoropivacaine at all port sites in total after wound closure with 6ml at each 10mm port site and 4ml at 5mm port sites. All infusion fluid was drained after laparoscopic cholecystectomy. Pain score was assessed by using visual analogue scale after 6 hours of surgery. Results: In our study, mean+sd was calculated as 41.29+12.22 years, 45.71%(n=32) were male and 54.29%(n=38) were female. Mean post-operative pain score in port site infiltration of local anesthetic after laparoscopic cholecystectomy for symptomatic cholelithiasis was 3.76+0.82. Conclusion: We concluded that mean post-operative pain score in port site infiltration of local anesthetic after laparoscopic cholecystectomy for symptomatic cholelithiasis was significantly low, and this technique appears to an effective and alternative method for minimizing the need of opoid analgesia while being simple technique, it is easy to perform and applicable.