EFFECT OF INTRA-PERITONEAL LEVO-BUPIVACAINE ON POST LAPAROSCOPIC PAIN - A TRIPLE BLINDED RANDOMIZED CONTROLLED STUDY

Laparoscopic cholecystectomy offers benets like reduced pain and faster recovery, but postoperative pain persists, mainly due to peritoneal irritation and CO2 effects. This study assessed intraperitoneal levobupivacaine's effectiveness in managing pain compared to 0.9% sodium chloride. In a randomized, triple-blinded, placebo-controlled study, 118 women undergoing diagnostic laparoscopic surgery were divided into two groups: Group 1 received 0.25% levobupivacaine, while Group 2 received 0.9% sodium chloride. Pain levels were assessed at 0, 12, 24, and 48 hours postoperatively using the visual analogue scale. The results indicated that Group 1 experienced signicantly lower pain levels at all time points (p < 0.05) and required less analgesia than Group 2. Moreover, Group 1 reported higher satisfaction with postoperative management. The study concluded that intraperitoneal levobupivacaine provides superior pain relief, reduces the need for additional analgesics, and enhances patient satisfaction compared to sodium chloride, making it a more effective strategy for postoperative pain management following laparoscopic surgery