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  • Title: Use of subdiaphragmatic bupivacaine instillation to control postoperative pain after laparoscopic surgery.
    Author: Weber A, Muñoz J, Garteiz D, Cueto J.
    Journal: Surg Laparosc Endosc; 1997 Feb; 7(1):6-8. PubMed ID: 9116952.
    Abstract:
    Although postoperative pain has been reduced significantly since the advent of laparoscopic surgery, many patients still complain of moderate abdominal and shoulder pain during the first 48 to 72 h after surgery. In this study, the effect of subdiaphragmatic instillation of bupivacaine after laparoscopic cholecystectomy was investigated. The evaluation of postoperative pain was done according to a numerical verbal scale and the dose of analgesia required. The results showed a considerable reduction of postoperative pain during the first 48 h after surgery in patients who received bupivacaine instillation. Although the literature shows certain controversy as to the effects of similar methods, our study concludes that instillation of a long-acting anesthetic, such as bupivacaine, into the subdiaphragmatic space after laparoscopic procedures is effective in postoperative pain reduction.
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