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Pankaj Dugg, Pankaj Shivhare, Harnam Singh, Sushil Mittal, Ashwani Kumar, Anand Munghate,
Volume 3, Issue 2 (5-2014)
Abstract

Background

Port site complications following elective surgery are rare and port site infections remain the most common short long term complications.

Objectives

The study was conducted to analyze port site complications occurring in patients undergoing Laparoscopic Cholecystectomy for symptomatic cholelithiasis.

Patients and Methods

Ninety patients undergoing laparoscopic cholecystectomy were recruited to the study. Patients were followed for one year after surgery and port sites were examined for any complication.

Results

Out of ninety patients, only three developed port site infections. No case of port site bleeding, discharge and hernia were reported in follow-up period. The results were insignificant as complication was seen in only 3 patients.

Conclusions

Laparoscopic cholecystectomy is a safe and effective procedure with low complication rates.


Pankaj Shivhare, Pankaj Dugg, Harnam Singh, Sushil Mittal, Ashwani Kumar, Anand Munghate,
Volume 3, Issue 4 (9-2014)
Abstract

Background

Postoperative pain following laparoscopic cholecystectomy can be due to various reasons. In this study reduction of visceral and shoulder tip pain is studied with intra peritoneal instillation of ropivacaine.

Objectives

The study was done to see the effect of intraperitoneal instillation of ropivacaine on postoperative abdominal pain and shoulder pain in laparoscopic cholecystectomy.

Patients and Methods

Sixty patients with symptomatic gall stone diseases undergoing laparoscopic cholecystectomy were randomized into two groups. In study group A (n = 30 patients) 0.5% of 30 mL (150 mg) of ropivacaine, and in control (placebo) group B (n = 30) 30 mL of normal saline was instilled in the gall bladder bed.

Results

Abdominal pain is worse during the first 24 hours after laparoscopic cholecystectomy. After 6 and 12 hours abdominal pain was significantly less in group A compared to group B (P < 0.035). Group A experienced less shoulder tip pain during the first postoperative day, compared to control group.

Conclusions

Intraperitoneal instillation of ropivacaine is more effective than placebo instillation at early postoperative hours in reducing postoperative abdominal pain after laparoscopic cholecystectomy.



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