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Abstract
<p class="first" id="d8995144e92">Efficacy of intraperitoneal instillation of bupivacaine
at the time of laparoscopic
sterilisation to provide postoperative analgesia was studied. In 40 patients undergoing
laparoscopic sterilisation 0.75ml/kg of 0.125% bupivacaine was instilled in the peritoneal
cavity (Group-I) and another 40 patients where the topical anaesthetic was not used
served as controls (Group-II). Pain scores on Visual Analog Scale (VAS) were studied
1,2,4,6 and 24 hours after surgery in both groups. Mean VAS score was significantly
lower in Group-I, 1,2 and 4 hours after surgery (p<0.05). Rescue analgesia was
required
in 20% patients of Group-I compared to 52.5% in Group-II which is definitely significant
(p<0.001). No complications or side effects were noted in the bupivacaine treated
group. This simple technique provides excellent analgesia in the immediate postoperative
period following laparoscopic sterilisation which will go a long way in enhancing
patient satisfaction and motivating other eligible clients to come forward for laparoscopic
sterilisation.
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