JSLS : Journal of the Society of Laparoendoscopic Surgeons
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Randomized Controlled Trial Clinical Trial
Intraperitoneal and intravenous routes for pain relief in laparoscopic cholecystectomy.
Postoperative abdominal and shoulder pain are the most common complaints after elective laparoscopic cholecystectomy. Postoperative pain is multifactorial in origin, and therefore multimodal therapy may be needed to optimize pain relief. ⋯ A multimodal approach to pain management following elective laparoscopic cholecystectomy is best achieved with a combination of 40 mL bupivacaine 0.25% intraperitoneal spray and 200 mg intravenous ketoprofen, achieving the least incidence of postoperative vomiting.