The effect of intraperitoneal instillation of rupivacaine and ketamine in combination with lung recruitment to reduce pain after laparoscopic gynecological procedures

Abstract

Laparoscopy is one of these minimally invasive procedures that is commonly used to diagnose and treat various types of clinical problems, including diseases related to women. Therefore, due to the importance of pain control after surgery and quick walking of patients and return to normal activity after surgery, laparoscopic surgery is expanding day by day. The aim of the study: to investigate the effect of periportal infiltration and intraperitoneal injection of ropivacaine and ketamine combined with lung recruitment to reduce pain after laparoscopic surgeries for women. Methods: In this study, 68 women aged 18-60 years who were candidates for diagnostic laparoscopic surgery were randomly divided into two groups of 34 people. In the study group (A), ropivacaine and ketamine were injected into the ports, and in the control group (B) the same volume of normal saline was injected. Vital signs were recorded every 10 minutes until the end of the procedure in the PACU. All study data have been collected and analyzed using SPSS24 statistical software. Results: The hemodynamic parameters of the patients in two groups were repeatedly measured during certain time intervals and their changes in the two groups were investigated and compared. The hemodynamic characteristics were stable in both groups and there were no significant statistical differences except in the recovery period. Comparing the amount of abdominal pain in contrast to the shoulder in the normal saline group and the ropivacaine and ketamine group, the VAS score decreased significantly compared to the normal saline control group. shows. In the cases of complications during surgery and also drug consumption in this period, with the statistical analysis, no significant statistical difference was seen between the two normal saline groups and the ropivacaine and ketamine group.