EFFICACY OF SUBCUTANEOUS ROPIVACAINE WOUND INFILTRATION FOR POSTOPERATIVE ANALGESIA AFTER CAESAREAN SECTION: A RETROSPECTIVE OBSERVATIONAL STUDY
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Abstract
Background: Postoperative pain management following Caesarean section is crucial to facilitate early ambulation, maternal-infant bonding, and breastfeeding. Local wound infiltration with ropivacaine is a simple and cost-effective technique with minimal systemic side effects. This study aimed to evaluate the efficacy of subcutaneous ropivacaine wound infiltration in reducing postoperative pain and analgesic requirements following Caesarean section.
Methods: This retrospective observational study included 200 ASA II parturients undergoing elective Caesarean section under spinal anaesthesia at Sher-i-Kashmir Institute of Medical Sciences. Patients were divided into two groups: Group A (n=100) received 30 ml of 0.75% ropivacaine infiltration at the Pfannenstiel incision site before skin closure, and Group B (n=100) received no infiltration. Postoperative pain was assessed using a Visual Analogue Scale (VAS) at regular intervals for 24 hours. Rescue analgesia (IV paracetamol) requirements, time to first analgesia, and adverse effects were recorded.
Results: Demographic variables were comparable between groups. Group A had significantly lower VAS scores compared to Group B at most time points (p<0.05). The mean time to first rescue analgesia was longer in Group A (3.9±1.02 h) than in Group B (2.3±0.93 h, p<0.001). Total paracetamol consumption was significantly lower in Group A (1880±670.8 mg) compared to Group B (2610±566.6 mg, p<0.001). Adverse effects were minimal and comparable.
Conclusion: Subcutaneous wound infiltration with ropivacaine significantly reduces postoperative pain intensity and analgesic requirements following Caesarean section, prolonging the time to first rescue analgesia without increasing adverse effects. This simple, cost-effective technique enhances postoperative recovery and maternal comfort.
References
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Nowsheeba Rashid
Senior Resident, Department of Anaesthesiology SKIMS Soura Srinagar Email: [email protected], email: [email protected], Email: [email protected]
Professor, Department of anaesthesiology SKIMS Soura Srinagar Email: [email protected]
mohd Rafiq mir
Senior Resident, Department of Anaesthesiology SKIMS Soura Srinagar Email: [email protected], email: [email protected], Email: [email protected]
Professor, Department of anaesthesiology SKIMS Soura Srinagar Email: [email protected]
Nyrah zahoor
Senior Resident, Department of Anaesthesiology SKIMS Soura Srinagar Email: [email protected], email: [email protected], Email: [email protected]
Professor, Department of anaesthesiology SKIMS Soura Srinagar Email: [email protected]
Prof.(Dr.) Waqrul Neesa
Senior Resident, Department of Anaesthesiology SKIMS Soura Srinagar Email: [email protected], email: [email protected], Email: [email protected]
Professor, Department of anaesthesiology SKIMS Soura Srinagar Email: [email protected]
