Health Condition 1: K800- Calculus of gallbladder with acutecholecystitis Health Condition 2: K801- Calculus of gallbladder with othercholecystitis Health Condition 3: K802- Calculus of gallbladder without cholecystitis Health Condition 4: K808- Other cholelithiasis
Conditions
Interventions
Intervention1: Ultrasound Guided Port Placement: Patients allocated to the intervention arm will receive ultrasound-guided port placement. After randomization preoperative ultrasound mapping of the ab
Sponsors
Dr Divya Mishra
Eligibility
Inclusion criteria
Inclusion criteria: 1) Adult patients aged between 18 and 60 years 2) American Society of Anaesthesiologists (ASA) physical status classification of I to III 3) Scheduled for elective LC 4) Patients who provide informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: Patients undergoing emergency laparoscopic procedures will be excluded. Individuals with a history of previous upper abdominal surgery or trauma will be excluded. Patients with known coagulopathies, defined as an International Normalized Ratio greater than 1.5 or a platelet count below 50,000, will be excluded. Pregnant females will be excluded. Patients with morbid obesity, defined as a body mass index equal to or greater than 35 kilograms per square meter, will be excluded. Patients with cognitive impairment or inability to provide informed consent will be excluded. Patients who are unable to comprehend or use the Visual Analogue Scale for pain assessment will be excluded. Patients with local skin infection at the proposed port sites will not be enrolled. Cases requiring open conversion during surgery will be excluded. Patients on long term medications that may alter pain perception, such as antidepressants, aspirin, antipsychotics, anticonvulsants, or lithium, will be excluded. Patients with neuropathic disorders, such as diabetic neuropathy, will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of Port-Site PainTimepoint: Pain severity will be measured using the Visual Analog Scale at 2 hours, 6 hours, 12 hours, 24 hours, and 48 hours postoperatively, and will be compared with patients who receive conventional port placement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic Requirement for Port Site PainTimepoint: As a direct consequence of lower pain scores, it is expected that the ultrasound guided group will require a lower total dose of postoperative analgesic medication within the first 48 hours.;Port-Site ComplicationsTimepoint: To compare port site complications, including hematoma, infection, bleeding, and seroma, up to postoperative day 30.;Time to first ambulationTimepoint: With less pain and fewer complications, patients in the ultrasound guided group are expected to achieve their first successful ambulation earlier after surgery. | — |
Countries
India
Contacts
Public ContactDr Ravi Gupta
All India Institute of Medical Sciences Gorakhpur
Outcome results
None listed