Post-operative pain score in cases with port site infiltration of local anesthetic after laparoscopic cholecystectomy

Objective: to record mean post-operative pain score in port site infiltration of local anesthetic after laparoscopic cholecystectomy. patients and methods: after taking approval from hospital ethical committee,patients coming through opd fulfilling the inclusion criteria were enrolled and informed consent was taken. laparoscopic cholecystectomy was performed under general anesthesia by consultant surgeon. patients received a total of 20 ml of 1.0% levoropivacaine at the port sites immediately after wound closure (6 ml at the epigastric port,6 ml at the umbilical port; and 4 ml at each working port). all infusion fluid was drained after laparoscopic cholecystectomy. at the end of surgery,local anesthesia was applied to the skin,subcutis,fascia,and parietal peritoneum through the port sites. pain score was assessed by using visual analogue scale after 6 hours of surgery. results: in ours study,out of 70 cases,47.14% (n=33) were between 18-40 years of age while 52.86% (n=37) were between 41-60 years of age,mean±sd was calculated as 41.29+12.22 years,45.71% (n=32) were male and 54.29% (n=38) were female. mean post-operative pain score in port site infiltration of local anesthetic after laparoscopic cholecystectomy for symptomatic cholelithiasis was 3.76+0.82. conclusion: we concluded that mean post-operative pain score in port site infiltration of local anesthetic after laparoscopic cholecystectomy for symptomatic cholelithiasis is an effective alternative method for early pain control and minimize the need of opoid analgesics and the technique is very simple,easily applicable.