Background and Aim: Most of the gynecological surgeries are now performed under laparoscopy guidance and though minimally invasive majority of patients experience moderate to severe pain in the post operative period. Intraperitoneal instillations of local anaesthetic ropivacaine or levobupivacaine with buprenorphine as adjuvant were compared in this study to find out the efficacy in providing postoperative analgesia. Method: 80 patients belonging to ASA 1 and 2 were divided to two groups of 40 each to receive intraperitoneal instillation of 25 ml of either 0.125% Levobupivacaine (Group B) or 0.2% Ropivacaine (Group R) with 0.3 mg of buprenorphine as adjuvant. Heart rate, blood pressure, respiratory rate, oxygen saturation, numerical rating scale for pain, time to first analgesic request and total analgesic requirement were assessed in the postoperative period. Results: There was no statistically significant difference in mean heart rate, systolic blood pressure, diastolic blood pressure, respiratory rate, oxygen saturation, pain scores, time to first analgesic request and total analgesic requirement with all p values more than 0.05. Conclusion: Intraperitoneal instillation of Levobupivacaine and Ropivacaine with buprenorphine as adjuvant is effective and have comparable postoperative analgesia after laparoscopic gynecological surgeries.

Background and Aim: Most of the gynecological surgeries are now performed under laparoscopy guidance and though minimally invasive majority of patients experience moderate to severe pain in the post operative period. Intraperitoneal instillations of local anaesthetic ropivacaine or levobupivacaine with buprenorphine as adjuvant were compared in this study to find out the efficacy in providing postoperative analgesia. Method: 80 patients belonging to ASA 1 and 2 were divided to two groups of 40 each to receive intraperitoneal instillation of 25 ml of either 0.125% Levobupivacaine (Group B) or 0.2% Ropivacaine (Group R) with 0.3 mg of buprenorphine as adjuvant. Heart rate, blood pressure, respiratory rate, oxygen saturation, numerical rating scale for pain, time to first analgesic request and total analgesic requirement were assessed in the postoperative period. Results: There was no statistically significant difference in mean heart rate, systolic blood pressure, diastolic blood pressure, respiratory rate, oxygen saturation, pain scores, time to first analgesic request and total analgesic requirement with all p values more than 0.05. Conclusion: Intraperitoneal instillation of Levobupivacaine and Ropivacaine with buprenorphine as adjuvant is effective and have comparable postoperative analgesia after laparoscopic gynecological surgeries.