Effect of installing xylocaine solution on the surgical bed on postoperative pain after laparoscopic cholecystectomy Baghdad/2022

Abstract

Background: Although the popularity of laparoscopic cholecystectomy is increasing, postoperative pain is still a significant problem that affects the patient’s experience and the duration of hospital stay. This study aims to evaluate the effectiveness of the perioperative use of intraperitoneal lidocaine.

Methods: Patients who underwent laparoscopic cholecystectomy were randomly assigned to either undergo intraperitoneal lidocaine administration (the lidocaine group) or normal saline administration. One hundred patients were evaluated (control group). The VAS was used to evaluate postoperative pain at 2, 6, 12, and 24 hours after the procedure.

Results: The severity of postoperative pain was significantly reduced in the lidocaine group at 2, 6, and 12 hours. Moreover, the lidocaine group demonstrated reduced opioid consumption and faster return of bowel function than the control group.

Conclusion:  The local administration of intraperitoneal lidocaine is a safe and effective method that is associated with decreased pain, earlier return of bowel function, and reduced consumption of opioids.