To comparison of efficacy of Bupivacaine for relief postoperative pain in women undergoing laparoscopic gynecologic surgery

Gynecologic laparoscopic procedures have become more common nowadays because of their benefits in less tissue trauma, less perioperative morbidity and shorter hospital stays compared with laparotomy. But postoperative pain still be the most concerning problems including discomfort at incision sites, Pain due to pneumoperitoneum stretching the intraabdominal cavity and dissection of the abdominal and pelvic viscera.

Visceral pain is at maximal intensity during the first postoperative hours and is exacerbated by coughing, respiratory movements, and mobilization. Because the pain comprises of several factors, multimodal analgesic techniques are needed for effective postoperative analgesia and brought to this study to compare efficacy of Bupivacaine for pain relief postoperatively in women undergoing gynecologic laparoscopic surgery divided into 4 groups including preincision and preclosure Bupivacaine injection collated with placebo group. The result is measurement in postoperative pain score and amount of drug that using to reduce pain

Inclusion Criteria:

• Patient who undergoing gynecologic laparoscopic surgery
• Patient who agrees to participate in this study
• Patient able to speak and understand Thai
• Patient able to complete the questionnaire

Exclusion Criteria:

• Patient with history of allergy in any kind anesthetic drug
• Patient who pregnant
• Patient who sign for single port gynecologic laparoscopic surgery or NOTE surgery
• Patient whom the surgery is withhold or canceled
• Patient whom the surgery is converted to laparotomy