Analgesic Efficacy of Ropivacaine Infiltration in Puncture Site of Mini Percutaneoius Nephrolithotomy Tract: Ropivacaine Infiltration in Mini Percutaneous Nephrolithotomy Tract

Asif  Khan; Tauheed  Fareed; Sayed Ghaffar  Shah; Muhammad  Shoaib; Qudrat  Ullah; Naqib  Ullah

doi:10.54393/pbmj.v5i1.334

Authors

Asif Khan Department of Urology, Saidu Teaching Hospital, Swat
Tauheed Fareed Department of Urology, Peshawar Institute of Medical Sciences Hayatabad, Peshawar
Sayed Ghaffar Shah Department of Pediatric Urology, Children Hospital, Lahore
Muhammad Shoaib Department of Urology, PAF hospital, Islamabad
Qudrat Ullah Department of Urology, Institute of Kidney Diseases, Hayatabad, Peshawar
Naqib Ullah Department of Urology, Rehman Medical Institute, Peshawar

DOI:

https://doi.org/10.54393/pbmj.v5i1.334

Keywords:

Percutaneous Nephrolithotomy, Ropivacaine Infiltration, Post-Operative Pain

Abstract

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.

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