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Title

Intraperitoneal levobupivacaine with dexamethasone and dexamethasone for post-operative pain after laparoscopic cholecystectomy

 

Authors

Shalini Jain, Rahul Shastre* & Ravi Barde

 

Affiliation

Department of Anaesthesia, MGM Medical College, Indore, Madhya Pradesh, India; *Corresponding author

 

Email

Shalini Jain - E-mail: drshalininjain@gmail.com

Rahul Shastre - E-mail: rahulshastrye1997@gmail.com

Ravi Barde - E-mail: barde.ravi@yahoo.com

 

Article Type

Research Article

 

Date

Received July 1, 2026; Revised July 31, 2026; Accepted July 31, 2026, Published July 31, 2026

 

Abstract

Post-operative pain after laparoscopic cholecystectomy remains clinically important and may delay early recovery despite minimally invasive surgery. This prospective observational comparative study included 70 ASA I–II patients undergoing elective laparoscopic cholecystectomy, with 35 patients receiving intraperitoneal levobupivacaine alone and 35 receiving levobupivacaine with dexamethasone. Group LD showed lower VAS score up to 8 hours, longer time to first rescue analgesia than Group LL (414.63 ± 54.48 vs 268.83 ± 75.62 minutes) and lower total rescue analgesic dose (90.00 ± 30.44 vs 115.71 ± 37.91 mg). Thus, data shows that intraperitoneal levobupivacaine with dexamethasone was associated with better early post-operative analgesic profile without clinically significant hyperglycemia or recorded side effects.

 

Keywords

Laparoscopic cholecystectomy; intraperitoneal analgesia; levobupivacaine; dexamethasone; post-operative pain; rescue analgesia; VAS score.

 

Citation

Jain et al. Bioinformation 22(7): 4279-4282 (2026)

 

Edited by

P Kangueane

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.