PREINCISIONAL PERIPORTAL AND INTRA PERITONEAL INFILTRATION OF LEVOBUPIVACAINE AND ROPIVACAINE IN LAPAROSCOPIC CHOLECYSTECTOMY: A COMPARATIVE STUDY

AIM AND OBJECT: It is mandatory to minimize pain after laparoscopic surgeries; the aim of this study is to evaluate the effect of pre incisional periportal infiltration and intraperitoneal injection with Levobupivacaine as compared to Ropivacaine for hemodynamic stability and pain relief in laparoscopic surgeries. METHOD AND MATERIAL: The prospective randomized study includes 100 laparoscopic cholecystectomy coming under ASA grade I & II. Patients randomly allocated in two groups of 50 patients each. Two study groups received preincisional periportal and intraperitoneal infiltration with 0.125% leobupivacaine 20 ml and ropivacaine 20 ml respectively. Hemodynamic stability and post-operative analgesia was studied. RESULT: Requirement of Diclofenac Sodium was reduced in Levobupivacaine group, and was statistically significantly (P< 0.05) in post-operative period with better hemodynamic stability as compare to Ropivacaine group. CONCLUSION: Pre incisional periportal and intraperitoneal administration of Levobupivacaine demonstrated useful effect on post-operative pain relief after laparoscopic cholecystectomy especially in early 24 hrs period.