Effect of perioperative lignocaine infusion on postoperative pain relief for laparoscopic intraperitoneal onlay mesh repair: A randomized controlled study

Introduction The focus on enhanced recovery after surgery (ERAS) and opioid‐free anesthesia has renewed interest in use of lignocaine. We evaluated postoperative pain relief following intravenous (IV) lignocaine administration in patients undergoing laparoscopic intraperitoneal onlay mesh repair (IP...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2022-10, Vol.15 (4), p.765-773
Main Authors: Sharma, Bimla, Garg, Rashi, Sahai, Chand, Gupta, Anjeleena Kumar, Gera, Anjali, Sood, Jayashree
Format: Article
Language:English
Subjects:
Analgesics
Hemodynamics
Laparoscopy
lignocaine
Pain
Patient satisfaction
postoperative pain
Postoperative period
postoperative recovery
Recovery (Medical)
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Summary:Introduction The focus on enhanced recovery after surgery (ERAS) and opioid‐free anesthesia has renewed interest in use of lignocaine. We evaluated postoperative pain relief following intravenous (IV) lignocaine administration in patients undergoing laparoscopic intraperitoneal onlay mesh repair (IPOM). Methods Seventy patients were randomized into two groups. Group L patients were administered IV lignocaine infusion (1.5 mg/kg) at induction of anesthesia followed by infusion (1.5 mg/kg/h), until 1 hour in the post‐anesthesia care unit (PACU). Group P patients received equal volumes of normal saline IV infusion. We recorded hemodynamics, perioperative analgesic consumption, postoperative visual analog scores (VAS), incidence of postoperative nausea and vomiting (PONV), bowel function, patient satisfaction and length of hospital stay (LOS). Results The hemodynamics in both groups were maintained. Group L had lower VAS scores as compared to Group P (P 
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.13089