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CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 3  |  Page : 112-114

Intraperitoneal instillation of ropivacaine for postoperative pain relief in laparoscopic cholecystectomy in a comorbid patient


1 Postgraduate Resident, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
2 Associate Professor, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India
3 Assistant Professor, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India

Correspondence Address:
Surabhi Shekhar
Postgraduate Resident, Department of Anesthesiology, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0056

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We report a case of a 55-year-old female diagnosed with multiple gallbladder stones posted for laparoscopic cholecystectomy. Her comorbidities included obesity, diabetes, previous spinal surgery, chronic renal dysfunction with abnormal renal profile. She was also anxious about postoperative pain. The surgery was successfully completed under general anesthesia with intraperitoneal instillation of ropivacaine which was done just before creation of pneumoperitoneum, which also provided excellent postoperative analgesia, good intraoperative conditions with least hemodynamic alterations in a high-risk case where other modalities for postoperative pain relief had their own limitations.


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