Saudi Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 7  |  Issue : 1  |  Page : 14--17

Intraperitoneal hydrocortisone for pain relief after laparoscopic cholecystectomy


Amene S Sarvestani1, Shahram Amini2, Mohsen Kalhor1, Reza Roshanravan1, Mehdi Mohammadi3, Amir Hussein Lebaschi4 
1 Department of Surgery, Zahedan University of Medical Sciences, Zahedan, Iran
2 Department of Anesthesiology, Imam Ali Hospital, Zahedan University of Medical Sciences, Zahedan, Iran
3 Department of Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran
4 Department of General Surgery Practitioner, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Shahram Amini
Department of Anesthesiology, Imam Ali Hospital, Persian Gulf Highway, Zahedan
Iran

Background: Laparoscopic cholecystectomy is associated with shorter hospital stay and less pain in comparison to open surgery. The aim of this study was to evaluate the effect of intraperitoneal hydrocortisone on pain relief following laparoscopic cholecystectomy. Methods: Sixty two patients were enrolled in a double-blind, randomized clinical trial. Patients randomly received intraperitoneal instillation of either 250 ml normal saline (n=31) or 100 mg hydrocortisone in 250 ml normal saline (n=31) before insufflation of CO2 into the peritoneum. Abdominal and shoulder pain were evaluated using VAS after surgery and at 6, 12, and 24 hours postoperatively. The patients were also followed for postoperative analgesic requirements, nausea and vomiting, and return of bowel function. Results: Sixty patients completed the study. Patients in the hydrocortisone group had significantly lower abdominal and shoulder pain scores (10.95 vs 12.95; P<0.01). The patients were similar regarding analgesic requirements in the recovery room. However, those in the hydrocortisone group required less meperidine than the saline group (151.66 (±49.9) mg vs 61.66 (±38.69) mg; P=0.00). The patients were similar with respect to return of bowel function, nausea and vomiting. No adverse reaction was observed in either group. Conclusion: Intraperitoneal administration of hydrocortisone can significantly decrease pain and analgesic requirements after laparoscopic cholecystectomy with no adverse effects.


How to cite this article:
Sarvestani AS, Amini S, Kalhor M, Roshanravan R, Mohammadi M, Lebaschi AH. Intraperitoneal hydrocortisone for pain relief after laparoscopic cholecystectomy.Saudi J Anaesth 2013;7:14-17


How to cite this URL:
Sarvestani AS, Amini S, Kalhor M, Roshanravan R, Mohammadi M, Lebaschi AH. Intraperitoneal hydrocortisone for pain relief after laparoscopic cholecystectomy. Saudi J Anaesth [serial online] 2013 [cited 2020 Aug 12 ];7:14-17
Available from: http://www.saudija.org/article.asp?issn=1658-354X;year=2013;volume=7;issue=1;spage=14;epage=17;aulast=Sarvestani;type=0