2024, Vol. 7, Issue 3, Part C
Comparative analysis of intraperitoneal ropivacaine with and without tramadol for post-operative pain management in laparoscopic cholecystectomy
Author(s): Dr. Devesh Jitendrabhai Domadiya, Dr. Ravi Amrutbhai Prajapati, Dr. Malti Jagannath Pandya and Dr. Heley Gatorwala
Abstract: Aim: This study aimed to compare the postoperative analgesic effect of intraperitoneal instillation of Ropivacaine with and without Tramadol in patients undergoing laparoscopic cholecystectomy.
Material and Methods: Sixty-four patients aged 18-60 years were included and randomly divided into two groups: Group R (Ropivacaine alone) and Group RT (Ropivacaine with Tramadol). Pain intensity was measured using the Visual Analogue Scale (VAS) at various intervals postoperatively.
Results: The mean VAS scores were significantly lower in Group RT compared to Group R at most time points (e.g., 2 hours postoperatively: Group RT: 2.5±1.2 vs. Group R: 4.0±1.5, p< 0.001). The time to first rescue analgesic was significantly longer in Group RT (226±21.6 min) compared to Group R (100±29.9 min), with a p-value < 0.001. The total analgesic consumption within 24 hours post-surgery was also significantly lower in Group RT (109±47.44 mg) compared to Group R (179±60.19 mg), with a p-value < 0.0001.
Conclusion: The combination of intraperitoneal Ropivacaine and Tramadol provides superior postoperative analgesia compared to Ropivacaine alone in patients undergoing laparoscopic cholecystectomy.
DOI: 10.33545/26643766.2024.v7.i3c.498
Pages: 155-158 | Views: 116 | Downloads: 49
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How to cite this article:
Dr. Devesh Jitendrabhai Domadiya, Dr. Ravi Amrutbhai Prajapati, Dr. Malti Jagannath Pandya, Dr. Heley Gatorwala. Comparative analysis of intraperitoneal ropivacaine with and without tramadol for post-operative pain management in laparoscopic cholecystectomy. Int J Med Anesthesiology 2024;7(3):155-158. DOI: 10.33545/26643766.2024.v7.i3c.498