Surgical endoscopy
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Randomized Controlled Trial Comparative Study
Comparison of intravenous and intraperitoneal lignocaine for pain relief following laparoscopic cholecystectomy: a double-blind, randomized, clinical trial.
Laparoscopic cholecystectomy (LC) is increasingly being performed as a day-care surgery. Intraperitoneal (IP) instillation of lignocaine has been proved to provide pain relief following LC. Of late, there is an increased interest in using intravenous (IV) lignocaine to provide pain relief following LC. There are no studies in the existing literature as to which form of administration is more effective for pain relief. Hence, this study has been undertaken. ⋯ IV lignocaine is superior to IP lignocaine in providing pain relief following LC. IV lignocaine has an added advantage of bringing about the early return of bowel activity, which will further facilitate surgeons to perform LC as a day-care procedure.
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Randomized Controlled Trial Comparative Study
A prospective, randomized, controlled, trial comparing occult-scar incision laparoscopic cholecystectomy and classic three-port laparoscopic cholecystectomy.
This study was designed to evaluate the outcome of laparoscopic cholecystectomy by comparing a new technique using occult-scar incision for laparoscopic cholecystectomy (OSLC) with classic three-port laparoscopic cholecystectomy (CLC). In the occult-scar incision, we moved the subcostal and subxiphoid trocar insertion sites to the suprapubic area so that operative scars were hidden in the pubic hairs and below umbilicus. ⋯ The OSLC is a safe and feasible alternative compared with CLC in experienced hands, and it is superior for outcomes regarding pain control and cosmesis.