TO STUDY THE ANALGESIC EFFECT OF INSTILLATION OF 20 ML 0.5% BUPIVACAINE INTRAPERITONEAL ROUTE AT THE END OF LAPAROSCOPIC SURGERY WITH CONTROL 20 ML 0.9% SALINE INTRAPERITONEALLY

Laparoscopy involves insufflation of the abdomen by gas, so that the endoscope (usually 6-10 mm in diameter) can view the intra-abdominal contents without being in direct contact with the viscera or tissues. Surgical procedures can be carried out by instruments produced through one or more additional ports. In a systematic review, we evaluated Randomized Controlled Trials (RCTs) of Local Anaesthetics (LA) compared with placebo or no treatment in the control of postoperative pain after laparoscopic surgery. A total of 41 trials with data from 2794 patients were considered appropriate for analysis. Of these 41 RCTs, 13 evaluated intraperitoneal LA after cholecystectomy, four RCTs assessed intraperitoneal LA after other procedures, eight RCTs evaluated port-site infiltration after various procedures, 12 RCTs evaluated mesosalpinx or fallopian tube block after sterilization, and four RCTs considered combined LA regimens. MATERIALS AND METHODS This study was conducted in 80 patients aged 30-50 years. The patients were divided into two Groups A - Saline, B - 0.5 Bupivacaine intraperitoneal instillation; 40 patients in each group undergoing elective and emergency surgery. OBSERVATIONS AND RESULTS This study was undertaken to compare the post-operative analgesic effect of 20 mL 0.5% Bupivacaine given intraperitoneally at the end of laparoscopic surgery with control 0.9% saline 20 mL at MGM Hospital, C.K.M. Hospital, Kakatiya Medical College, Warangal, during the period from January 2009 to July 2009. Bupivacaine group had better postoperative pain relief in the first six hours with no complications. CONCLUSION 0.5% Bupivacaine intraperitoneal instillation is effective for abdominal surgeries, especially hysterectomy, appendicectomy and cholecystectomy.