Open AccessAnalgesic Efficacy of Ropivacaine Infiltration in Puncture Site of Mini Percutaneoius Nephrolithotomy Tract
Author(s) -
Asif Khan,
Tauheed Fareed,
Sayed Ghaffar Shah,
M. Shoaib,
Qudrat Ullah,
Naqib Ullah
Publication year - 2022
Publication title -
pakistan biomedical journal
Language(s) - English
Resource type - Journals
eISSN - 2709-2798
pISSN - 2709-278X
DOI - 10.54393/pbmj.v5i1.334
Subject(s) - medicine , percutaneous nephrolithotomy , ropivacaine , nephrostomy , placebo , analgesic , anesthesia , infiltration (hvac) , surgery , group b , saline , percutaneous , physics , alternative medicine , pathology , thermodynamics
To compare the mean postoperative pain score in patients with ropivacaine infiltration in the access tract with placebo in patients undergoing mini percutaneous nephrolithotomy. Methods: Total 82 adult patients of either gender undergoing mini percutaneous nephrolithotomy, between 9 and 63 years of age were included in the study. The patients were randomly allocated into two groups by lottery method. Patients in group A were given 20ml of 0.25% ropivacaine in the access tract while patients in group B were given 20ml of normal saline as placebo at the beginning of surgery at the nephrostomy site. Post operatively all patients were carefully followed at 2, 4 and finally at 6 hours. All patients were examined to determine the pain scores at the mini PCNL puncture site using visual analogue scale. Results: The mean age of patients in group A was 40.60 ± 11.62 years and in group B was 40.26 ± 13.15 years. Out of 82 patients 43 (51.43%) patents were male and 39 (48.57%) were female with male to female ratio of 1.1:1. Mean postoperative pain score in patients with preoperative ropivacaine infiltration (group A) of nephrostomy tract was 3.2 ± 1.2 and in placebo (group B) was 5.60 ± 1.64 with p-value of 0.0001. Conclusion: This study concluded that mean postoperative pain score of ropivacaine infiltration in the PCNL tract is less than placebo in patients undergoing mini percutaneous nephrolithotomy.