Laparoscopic Cholecystectomy Pain

A ‘PROSPECT’ review of laparoscopic cholecystectomy pain makes the following procedure specific recommendations.

Acetaminophen (Paracetamol) + NSAIDs or CoX-2 Inhibitors + site local anesthetic infiltration.

They do not in general recommend TAP blocks, intra-peritoneal local anesthetic or gabapentinoids. Opioids are reserved for rescue analgesia.

They recommend low-pressure pneumoperitoneum, postprocedure saline lavage, and aspiration of pneumoperitoneum. Single-port incision techniques are not recommended to reduce pain.

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