Pre-incisional Laparoscopic Preperitoneal Local Anesthetic Technique in Laparoscopic Sleeve Gastrectomy

Abdullah Aldohayan; Sulaiman Alshammari; Ahmed Binjaloud; Fahad Bamehriz; Abdul Sattar Narejo; Mansoor Aqil; Nahlah Aldahian; Abdulaziz Aldabaeab; Abdelazeem Eldawlatly

doi:10.4293/JSLS.2022.00049

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Pre-incisional Laparoscopic Preperitoneal Local Anesthetic Technique in Laparoscopic Sleeve Gastrectomy

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Pre-incisional Laparoscopic Preperitoneal Local Anesthetic Technique in Laparoscopic Sleeve Gastrectomy

Abdullah Aldohayan, Sulaiman Alshammari, Ahmed Binjaloud, Fahad Bamehriz, Abdul Sattar Narejo, Mansoor Aqil, Nahlah Aldahian, Abdulaziz Aldabaeab and Abdelazeem Eldawlatly

Journal of the Society of Laparoendoscopic Surgeons, Vol.26(3), p.e2022.00049

07/01/2022

DOI: 10.4293/JSLS.2022.00049

PMCID: PMC9439284

PMID: 36071990

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Abstract

Background: The increasing prevalence of obesity is a sig-nificant concern worldwide. Laparoscopic sleeve gastrectomy (LSG) is an effective and standard procedure for sustained weight loss. However, optimal pain control is essential for enhanced recovery after surgery. The aim of this randomized controlled study was to investigate the efficacy of a pre-inci-sional laparoscopic preperitoneal local anesthetic technique (PLPLAT) on recovery characteristics following LSG. Methods: A total of 120 obese patients scheduled to undergo LSG were randomized into the PLPLAT or pla-cebo group (n = 60 patients in both groups). All patients received conventional intravenous or other analgesics postoperatively, as required. The primary outcome was the postoperative pain score. The secondary outcomes included morphine consumption, other analge-sics, length of stay in the postanesthesia care unit (PACU), hemodynamic changes, postoperative nausea and vomiting (PONV), early mobilization, and length of hospital stay. Results: Pain scores in the PACU and at 12 hours after surgery in the ward were significantly lower in the PLPLAT group than in the placebo group (P < 0.05). The morphine consumption was significantly less in PLPLAT group with mean dosage of 2.95 mg (+/- 0.39) compared to 6.0 mg (+/- 0.4) in placebo group. PONV, mean arterial pressure, and PACU stay were significantly higher in the placebo group than in the PLPLAT group (P < 0.05). Conclusion: Intraoperative PLPLAT provide effective postoperative pain relief for patients undergoing LSG. The findings indicated the efficacy of PLPLAT in reducing postoperative pain, enhancing recovery, and facilitating early discharge.

Life Sciences & Biomedicine

Science & Technology

Surgery

Details

Title: Subtitle: Pre-incisional Laparoscopic Preperitoneal Local Anesthetic Technique in Laparoscopic Sleeve Gastrectomy
Creators: Abdullah Aldohayan - King Saud Medical City
Sulaiman Alshammari - King Saud Medical City
Ahmed Binjaloud - King Saud Medical City
Fahad Bamehriz - King Saud Medical City
Abdul Sattar Narejo - King Saud Medical City
Mansoor Aqil - King Saud University
Nahlah Aldahian - Alfaisal University
Abdulaziz Aldabaeab - King Saud University
Abdelazeem Eldawlatly - King Saud Medical City
Resource Type: Journal article
Publication Details: Journal of the Society of Laparoendoscopic Surgeons, Vol.26(3), p.e2022.00049
DOI: 10.4293/JSLS.2022.00049
PMID: 36071990
PMCID: PMC9439284
NLM abbreviation: JSLS
ISSN: 1086-8089
eISSN: 1938-3797
Publisher: Soc Laparoendoscopic Surgeons
Number of pages: 6
Language: English
Date published: 07/01/2022
Academic Unit: Anesthesia
Record Identifier: 9984962635502771

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