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Role Of Port Site Infiltration Of Long Acting Local Anaesthetic Agents In PostOperative Pain Reduction, Early Recovery And Overall Patient Satisfaction After Laparoscopic Cholecystectomy

Apoorv Goel

Background: In today’s era of minimally invasive surgery early post-operative pain reduction, early recovery and return to normal activities is also an important aspect. This study has been designed to analyze the effect of a long acting local anaesthetic agent (0.25 % Bupivacaine) infiltration over port sites in cases oflaparoscopic cholecystectomy. Material and Methods: This is a comparative study carried out at St Joseph Hospital, Ghaziabad from September 2019 to March 2020 on 124 patients who underwent standard four port laparoscopic cholecystectomy. Group I was control group in which no local anaesthesia was offered and Group II received 20ml of 0.25 % Bupivacaine infiltrated over port sites. Various parameters were assessed during intra-operative and post-operative period. Pain was analysed using Visual Analogue Scoring (VAS) for first 24 hours and overall patient satisfaction scoring was done using questionnaire and scorecard. Results: Cholelithiasis is a disease of middle aged females. Post-operative pain was significantly reduced in group II receiving port site infiltration with 0.25% Bupivacaine. Early recovery, return to normal activities and overall patient satisfaction was significantly better in group II. Conclusion: Port site infiltration with 0.25% Bupivacaine significantly reduces early postoperative pain, enhance early recovery and improves overall patient satisfaction after laparoscopic cholecystectomy