Intraperitoneal Analgesia After Laparoscopic Cholecystectomy

NCT ID: NCT00950625

Last Updated: 2011-01-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2010-08-31

Brief Summary

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Although laparoscopic cholecystectomy is associated with less pain than contemporary open procedures; it is definitely not pain free and the magnitude of postoperative shoulder and abdominal pain in the early postoperative period is still quite significant. This postoperative pain is a major concern not only for the patients, but also healthcare workers; and it often contributes to overnight hospital stay after this minimally invasive surgical procedure. Intraperitoneal instillation of local anesthetics at the time of surgery to control pain after laparoscopic cholecystectomy has been extensively studied in numerous randomized trials and found to be extremely useful. Lignocaine and Bupivacaine are two commonly used local anesthetic agents. In view of contradictory results from previous studies, it is not yet clear which of these two agents is superior to the other for pain control in this setting. To answer this question, we have designed a prospective randomized controlled trial and the specific aim of the study is to compare the analgesic efficacy of intraperitoneal lignocaine with intraperitoneal Bupivacaine in the postoperative setting after laparoscopic cholecystectomy.

If we can improve pain control after this minimally invasive procedure, it might result in decreased postoperative requirement of narcotic analgesia and its associated side-effects. It may also result in early recovery and the same day discharge of the patients with significant cost-containment for the patient and healthcare systems in future.

Detailed Description

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Conditions

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Laparoscopic Cholecystectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Investigators

Study Groups

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intraperitoneal lignocaine

Intraperitoneal lignocaine will be compared with intraperitoneal bupevacaine for pain control after laparoscopic cholecystectomy

Group Type ACTIVE_COMPARATOR

lignocaine

Intervention Type DRUG

200 mg of intraperitoneal lignocaine will be given once during surgery

bupevacaine

Intervention Type DRUG

100 mg of bupevacaine will be given once during laparoscopic cholecystectomy

intraperitoneal bupevacaine

intraperitoneal lignocaine will be compared with intraperitoneal bupevacaine after laparoscopic cholecystectomy

Group Type ACTIVE_COMPARATOR

lignocaine

Intervention Type DRUG

200 mg of intraperitoneal lignocaine will be given once during surgery

bupevacaine

Intervention Type DRUG

100 mg of bupevacaine will be given once during laparoscopic cholecystectomy

Interventions

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lignocaine

200 mg of intraperitoneal lignocaine will be given once during surgery

Intervention Type DRUG

bupevacaine

100 mg of bupevacaine will be given once during laparoscopic cholecystectomy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of symptomatic gallstones requiring laparoscopic cholecystectomy
* Elective surgical procedure
* American Society of Anesthesiologists class I and II

Exclusion Criteria

* Patients refusing randomization
* Patients already on analgesics
* Patients with acute cholecystitis
* Patients requiring preoperative cholangiogram or common bile duct exploration
* Patients having bile or stone spillage during procedure
* Patients requiring conversion to open procedure
* Patients requiring re-exploration for any reason
* Patients with history of allergy to local anesthetic agents
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aga Khan University

OTHER

Sponsor Role lead

Responsible Party

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Aga Khan University

Principal Investigators

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Muhammad R Khan, FRCS

Role: PRINCIPAL_INVESTIGATOR

Aga Khan University

Locations

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Aga Khan University

Karachi, Sindh, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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091026SUR

Identifier Type: -

Identifier Source: org_study_id

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