İsmail Serhat Kocamanoğlu1, Ebru Kelsaka1, Erdal Malatyalıoğlu2, Binnur Sarıhasan1, Ayla Tür1, Banu Şekerci1

1University of Ondokuz Mayis, Faculty of Medicine, Department of Anaesthesiology, Samsun, Turkey
2Ondokuz Mayis University, School of Medicine, Department of Obstetrics and Gynecology, Samsun, Turkey

Keywords: Bupivacaine, intraperitoneal local anesthetic, laparoscopy, ropivacaine, shoulder pain

Abstract

Postoperative abdominal and shoulder pain are common complications after laparoscopy. The aim of this study is to compare the effects of intraperitoneal local anesthetics on postoperative abdominal and shoulder pain after laparoscopy. 55 women, physical status ASA I, who were undergoing diagnostic or minor gynecologic surgery, was enrolled to the study. In Group 1 (Bupivacaine, n: 17) and Group 2 (Ropivacaine, n: 18), 80 ml solution which contains one of the local anesthetics (60 ml saline and 20 ml % 0.5 bupivacaine in Group 1, 60 ml saline and 20 ml % 0.75 ropivacaine in Group 2), was injected into the right subdiaphragmatic (30 ml) and abdominopelvic space (50 ml) at the beginning of the surgical procedure. Patients in Group 3 (Control, n: 20) didn't received any solution intraperitoneally. Shoulder and abdominal pain was assessed with a visual analogue scale, and any other complications were noted during the first 24 hours after surgery. Shoulder and abdominal pain intensity and frequency were significantly less in the local anesthetic groups than control group, similar between ropivacaine and bupivacaine groups.