Page 31 - World Journal of Laparoscopic Surgery

WJOLS

Can Intraperitoneal Tramadol decrease Pain in Patients undergoing Laparoscopic Cholecystectomy in Postoperative Period?
tramadol can be used safely at doses as in our study in preoperative symptoms and intraoperative events. Surg
intraperitoneally, which can be correlated with study Endosc 1994 Feb;8(2):90-96.
done by Akinci et al. 13 8. Joshipura VP, Haribhakti SP, Patel NR, Naik RP, Soni HN,
Patel B, Bhavsar MS, Narwaria MB, Thakker R. A prospective
randomized, controlled study comparing low pressure versus
CONCLUSION high pressure pneumoperitoneum during laparoscopic
cholecystectomy. Surg Laparosc Endosc Percutan Tech 2009
Intraperitoneal tramadol significantly reduces pain scores Jun;19(3):234-240.
in early postoperative period (4 hours in our study), 9. Roberts KJ, Gilmour J, Pande R, Nightingale P, Tan LC,
and requirement of rescue analgesic for first 8 hours Khan S. Efficacy of intraperitoneal local anaesthetic tech-
without significantly increasing incidence of adverse niques during laparoscopic cholecystectomy. Surg Endosc
effect or hemodynamic complications. So, it can be safely 2011 Nov;25(11):3698-3705.
introduced for control of postoperative pain in patients 10. Barczynski M, Konturek A, Herman RM. Superiority of
preemptive analgesia with intraperitoneal instillation of
undergoing laparoscopic cholecystectomy. bupivacaine before rather than after the creation of pneumo-
peritoneum for laparoscopic cholecystectomy: a randomized,
REFERENCES double-blinded, placebo-controlled study. Surg Endosc 2006
Jul;20(7):1088-1093.
1. Jani K, Rajan PS, Sendhilkumar K, Palanivelu C. Twenty 11. Kocamanoglu IS, Kelsaka E, Malatyalioglu E, Sarihasan B, Tur A,
years after Erich Muhe: persisting controversies with the gold Sekerci B. Comparison of effect of the administration of
standard of laparoscopic cholecystectomy. J Minim Access intraperitoneal local anesthetics for postoperative analgesia
Surg 2006 Jun;2(2):49-58. and prevention of shoulder pain. Agri 2005 Oct;17(4):53-57.
2. Yeh CN, Chen MF, Jan YY. Laparoscopic cholecystectomy 12. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A,
for 58 end stage renal disease patients. Surg Endosc 2005 Hanks GW, Loge JH, Fainsinger R, Aass N, Kaasa S, European
Jul;19(7):915-918. Palliative Care Research Collaborative (EPCRC). Studies
3. Ure BM, Troidl H, Spangenberger W, Neugebauer E, Lefering R, comparing Numerical Rating Scales, Verbal Rating Scales,
Ullmann K, Bende J. Preincisional local anaesthesia with and Visual Analogue Scales for assessment of pain intensity
bupivacaine and pain after laparoscopic cholecystectomy: in adults: a systematic literature review. J Pain Symptom
a double-blind randomized clinical trial. Surg Endosc 1993 Manage 2011 Jun;41(6):1073-1093.
Nov-Dec;7(6):482-488. 13. Akinci SB, Ayhan B, Ayhan IO, Tirnaksiz B, Basgul E, Abbaso-
4. Kandil TS, El Hefnawy E. Shoulder pain following laparo- glu O, Aypar U, Sayek I. The postoperative analgesic efficacy
scopic cholecystectomy: factors affecting the incidence and of intraperitoneal tramadol compared to normal saline or
severity. J Laparoendosc Adv Surg Tech A 2010 Oct;20(8): intravenous tramadol in laparoscopic cholecystectomy. Eur
677-682. J Anesthesiol 2008 May;25(5):375-381.
5. Wills VL, Hunt DR. Pain after laparoscopic cholecystectomy. 14. Golubovic S, Golubovic V, Tokmadzic VS. Intraperitoneal
Br J Surg 2000 Mar;87(3):273-284. analgesia for laparoscopic cholecystectomy. Period Biol
6. Enes H, Semir I, Sefik H, Husnija M, Goran I. Postoperative 2009;111:263-266.
pain in open vs laparoscopic cholecystectomy with and 15. Golubovic S, Golubovic V, Cindric-Stancin M, Tokmadzic VS.
without local application of anaesthetic. Med Glas (Zenica) Analgesic effect of intraperitoneal tramadol during laparo-
2011 Aug;8(2):243-248. scopic cholecystectomy. Period Biol 2007;109:317-320.
7. Ure BM, Troidl H, Spangenberger W, Dietrich A, Lefering R, 16. Alhashemi JA, Kaki AM. Effect of intrathecal tramadol
Neugebauer E. Pain after laparoscopic cholecystectomy. administration on postoperative pain after transurethral
Intensity and localization of pain and analysis of predictors resection of prostate. Br J Anaesth 2003 Oct;91(4):536-540.

World Journal of Laparoscopic Surgery, January-April 2017;10(1):26-29 29