Yıl 2018, Cilt 4, Sayı 4, Sayfalar 326 - 332 2018-10-04

Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy

Oğuz Uğur Aydın [1] , Lütfi Soylu [2]

82 179

Objectives: Despite the advantages of laparoscopic cholecystectomy (LC), postoperative pain remains a major complaint for many patients. In this study, in patients undergoing LC, the application of LC via incisional bupivacaine and low inflation pressure, alone or combined, and a comparison of the effects on postoperative pain has been purposed.

Methods: Patients were randomly assigned into the following 4 groups: the standard pressure (SP) group (n = 30); patients with an intraabdominal insufflation pressure of 12 mmHg, where bupivacaine application was not performed at the trocar locations. The SP+local anesthetic (LA) (SP+LA) group (n = 30); patients with an intraabdominal insufflation pressure of 12 mmHg, where bupivacaine application was performed at the trocar locations. The low pressure (LP) group (n = 30); patients with an intraabdominal insufflation pressure of 8 mmHg, where bupivacaine application was not performed at the trocar locations. The (LP+LA) group (n = 30); patients with an intraabdominal insufflation pressure of 8 mmHg, where bupivacaine application was performed at the trocar locations. Postoperative pain was evaluated using the visual analogous scale (VAS).

Results: When the relationships between the VAS scores, gender, age, and American Society of Anesthesiologists classification were evaluated, no significant relationships between the groups were observed (p > 0.05). A significant relationship between the groups was detected with regards to the VAS scores, 1st analgesic application, 2nd analgesic application, and patients’ satisfaction (p < 0.05).

Conclusions: The combination of low insufflation pressure with intrafacial preincisional local anesthetic infiltration in post-LC pain palliation is thought to be more effective and applicable. 

Laparoscopic cholecystectomy, local anesthetic, low pressure
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Dergi Bölümü Original Article
Yazarlar

Yazar: Oğuz Uğur Aydın (Sorumlu Yazar)
Kurum: Oğuz Uğur Aydın
Ülke: Turkey


Yazar: Lütfi Soylu
Kurum: Department of General Surgery, Güven Hospital, Ankara
Ülke: Turkey


Bibtex @araştırma makalesi { eurj345129, journal = {The European Research Journal}, issn = {}, eissn = {2149-3189}, address = {Sağlık Araştırmaları ve Stratejileri Derneği}, year = {2018}, volume = {4}, pages = {326 - 332}, doi = {10.18621/eurj.345129}, title = {Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy}, key = {cite}, author = {Aydın, Oğuz Uğur and Soylu, Lütfi} }
APA Aydın, O , Soylu, L . (2018). Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy. The European Research Journal, 4 (4), 326-332. DOI: 10.18621/eurj.345129
MLA Aydın, O , Soylu, L . "Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy". The European Research Journal 4 (2018): 326-332 <http://dergipark.gov.tr/eurj/issue/32988/345129>
Chicago Aydın, O , Soylu, L . "Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy". The European Research Journal 4 (2018): 326-332
RIS TY - JOUR T1 - Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy AU - Oğuz Uğur Aydın , Lütfi Soylu Y1 - 2018 PY - 2018 N1 - doi: 10.18621/eurj.345129 DO - 10.18621/eurj.345129 T2 - The European Research Journal JF - Journal JO - JOR SP - 326 EP - 332 VL - 4 IS - 4 SN - -2149-3189 M3 - doi: 10.18621/eurj.345129 UR - http://dx.doi.org/10.18621/eurj.345129 Y2 - 2018 ER -
EndNote %0 The European Research Journal Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy %A Oğuz Uğur Aydın , Lütfi Soylu %T Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy %D 2018 %J The European Research Journal %P -2149-3189 %V 4 %N 4 %R doi: 10.18621/eurj.345129 %U 10.18621/eurj.345129
ISNAD Aydın, Oğuz Uğur , Soylu, Lütfi . "Impact of low-pressure pneumoperitoneum and local anesthetic combination on postoperative pain in patients undergoing laparoscopic cholecystectomy". The European Research Journal 4 / 4 (Ekim 2018): 326-332. http://dx.doi.org/10.18621/eurj.345129