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ORIGINAL ARTICLE
Year : 2019  |  Volume : 6  |  Issue : 2  |  Page : 188-191

Reduction of early postoperative pain with laparoscopic sleeve gastrectomy with local bupivacaine: a randomized placebo-controlled study


Department of Anesthesia and Intensive Care, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

Correspondence Address:
Mohamed El Sayed
Department of Anesthesia and Intensive Care, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/roaic.roaic_4_18

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Introduction Local bupivacaine provides safe, effective, and low-cost anesthesia with good postoperative analgesia. Our aim was to confirm the postoperative analgesic efficacy and safety of bupivacaine for local infiltration in pain relief in laparoscopic sleeve gastrectomy. Patient and methods This prospective, double-blind study was conducted on 70 patients of age 18–50 years, posted for laparoscopic sleeve gastrectomy and randomly allocated into two groups of 35 patients each. Control group (group C) received an injection of 40 ml saline 0.9%: 30 ml intraperitoneal plus 10 ml normal saline injection local infiltration in the three port sites. Group P received 40 ml of bupivacaine: 30 ml intraperitoneal plus 10 ml local infiltration at the port site. Assessment of pain scores visual analog scale in the 24 h after surgery, first need for rescue analgesia, and incidence of various complications were recorded. Results The timing of the first analgesic request in the control group was 102.5±10.3 min, and in group D was 328.8±32.4 min, which is statistically significant (P<0.000), with no adverse effects. Conclusion Bupivacaine (intraperitoneal and local infiltration) leads to prolonged postoperative analgesia after sleeve gastrectomy without adverse effects.


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