• Ergun Ergün, Anar Gurbanov, Gulnur Gollu, Ufuk Ates, Meltem Bingöl-Koloğlu, Ahmet Çakmak, and Özlem Selvi Can.
• Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara-Türkiye.
• Ulus Travma Acil Cer. 2022 Jul 1; 28 (7): 974978974-978.

BackgroundThe aim of this study is to determine the effects of local anesthetics administered intraperitoneally in laparoscopic appendectomy.MethodsPatients who underwent laparoscopic appendectomy due to acute appendicitis were enrolled in the study. The children were divided into two groups. Intraperitoneal bupivacaine injection to appendectomy site and subdiaphragmatic area was performed after resection of appendix and aspirastion of intraperitoneal reactive fluid in Group 1 while Group 2 did not receive this therapy. The children were questioned by a nurse at postoperative 1st, 6th, 12th, and 24th h. Pain scores (PS) (abdominal), abdominal wall incisional pain (IP), shoulder pain (SP), and first need for analgesics were recorded.ResultsOne hundred and twenty children were enrolled to the study. There was no significant difference in PS values and IP values between the two groups (p>0.05). SP values at 12th and 24th h were significantly lower in Group 1 (p<0.05). There was a statistically significant reduce in analgesic need in Group 1 (p=0.007).ConclusionIntraperitoneal bupivacaine instillation to surgery site and subdiaphragmatic area seems to reduce the SP post-opera-tive and also reduce post-operative analgesic need. More meaningful results can be obtained with an increase in the number of patients.

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