Health Condition 1: O- Medical and Surgical Health Condition 2: K802- Calculus of gallbladder without cholecystitis
Conditions
Interventions
Intervention1: Patients with calculus cholecystitis undergoing laproscopic cholecystectomy: Infiltration of 20 ml of 0.5% Inj. Bupivacaine ( which is 100mg ) given once only at the end of procedure in
Sponsors
Dr B R SOYAL
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 to 65 years. 2. Patients with a preoperative diagnosis of symptomatic cholelithiasis or chronic cholecystitis. 3. Patients scheduled for elective laparoscopic cholecystectomy. 4. Patients willing to provide written informed consent. 5. Patients classified as ASA Grade I or II (American Society of Anesthesiologists Physical Status Classification) 6. Both genders will be included in the study.
Exclusion criteria
Exclusion criteria: 1. Patients undergoing emergency cholecystectomy (e.g., acute cholecystitis, gallbladder perforation, gallstone ileus, emphysematous cholecystitis). 2. Patients with known allergy or hypersensitivity to Bupivacaine or amide-type local anesthetics. 3. Patients requiring conversion to open cholecystectomy during surgery. 4. Patients with coagulopathy or on anticoagulant/antiplatelet therapy (unless stopped appropriately pre-operatively). 5. Patients with severe hepatic, renal, or cardiac disease (e.g., ASA Grade III and above).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the effectiveness of local infiltration of Bupivacaine at port sites versus no infiltration in reducing post-operative pain in patients undergoing elective laparoscopic cholecystectomy. Timepoint: Pain was assessed after every 2 hours after recovering from general anaesthesia and at 6 hours, 12 hours and 24 hours after the procedure in the recovery room using visual analogue scale | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To evaluate the difference in total post operative analgesic consumption between the two groups. Pain was assessed at baseline & every 2 hours after recovery from general anaesthesia at 6,12 & 24 hours in the post operative period through visual analogue scale of 0 to 10. Timepoint: Pain was assessed at baseline & every 2 hours after recovery from general anaesthesia at 6,12 & 24 hours. Patient was then followed up 2 days, 1 week, 2 weeks, 4 weeks after surgery to know about the pain status & assesment was done. ;2. To assess the time to first rescue analgesic requirement post-operatively in both groups. Timepoint: ;3. To evaluate patient satisfaction regarding post-operative pain management. Timepoint: ;4. To assess the impact of Bupivacaine infiltration on length of hospital stay, if any. Timepoint: | — |
Countries
India
Contacts
Public ContactDr MOHAMMED ARIF
Shimoga institute of medical sciences
Outcome results
None listed