Ramírez CS, Rosales BM, San Germán TLMC

Language: Spanish
References: 16
Page: 134-139
PDF size: 171.45 Kb.

ABSTRACT

The application of incisional and intraabdominal local anesthetic reduced pain. This technique is recommended in patients undergoing laparoscopic cholecystectomy. The core demonstrate than ropivacaine is better than ketorolac IV. Material and methods: Sixty patients underwent cholecystectomy laparoscopy were included and randomized divided into two groups: Group 1 (n = 30) ASA physical status I or II, received ropivacaine 7.5% (52.5 mg in to bed of the gallbladder at the end surgery and 60 mg before trocar placement). Group 2 (n = 30) ASA physical status I or II, received nonsteroid antiinflammatory drugs (NSAD) only (ketorolac 60 mg IV). Pain was assessed using a visual analog scale (VAS) at 0, 15, 30, 60 and 90 minutes. Morphine was applicated when the pain was most intense (0.5 mg/kg IV) in both groups. Results: Ropivacaine administrated at the bed surgery shown better analgesia effect than administrated ketorolac IV. Conclusions: Postoperative pain after laparoscopic surgery is less that after laparotomy, and patient may benefit from an intraperitoneal injection of local anesthetic.

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