Analgesic Efficacy of Ropivacaine Infiltration in Puncture Site of Mini Percutaneoius Nephrolithotomy Tract

Ropivacaine Infiltration in Mini Percutaneous Nephrolithotomy Tract


  • Asif Khan Department of Urology, Saidu Teaching Hospital, Swat
  • Tauheed Fareed Department of Urology, Peshawar Institute of Medical Sciences Hayatabad, Peshawar
  • Sayed Ghaffar Shah Department of Pediatric Urology, Children Hospital, Lahore
  • Muhammad Shoaib Department of Urology, PAF hospital, Islamabad
  • Qudrat Ullah Department of Urology, Institute of Kidney Diseases, Hayatabad, Peshawar
  • Naqib Ullah Department of Urology, Rehman Medical Institute, Peshawar



Percutaneous Nephrolithotomy, Ropivacaine Infiltration, Post-Operative Pain


To compare the mean postoperative pain score in patients with ropivacaine infiltration in the access tract with placebo in patients undergoing mini percutaneous nephrolithotomy. Methods: Total 82 adult patients of either gender undergoing mini percutaneous nephrolithotomy, between 9 and 63 years of age were included in the study. The patients were randomly allocated into two groups by lottery method. Patients in group A were given 20ml of 0.25% ropivacaine in the access tract while patients in group B were given 20ml of normal saline as placebo at the beginning of surgery at the nephrostomy site. Post operatively all patients were carefully followed at 2, 4 and finally at 6 hours. All patients were examined to determine the pain scores at the mini PCNL    puncture site using visual analogue scale. Results: The mean age of patients in group A was 40.60 ± 11.62 years and in group B was 40.26 ± 13.15 years. Out of 82 patients 43 (51.43%) patents were male and 39 (48.57%) were female with male to female ratio of 1.1:1. Mean postoperative pain score in patients with preoperative ropivacaine infiltration (group A) of nephrostomy tract was 3.2 ± 1.2 and in placebo (group B) was 5.60 ± 1.64 with p-value of 0.0001. Conclusion: This study concluded that mean postoperative pain score of  ropivacaine infiltration in the PCNL tract  is less than placebo in patients undergoing mini percutaneous nephrolithotomy.


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DOI: 10.54393/pbmj.v5i1.334
Published: 2022-01-31

How to Cite

Khan, A. ., Fareed, T. ., Shah, S. G. ., Shoaib, M. ., Ullah, Q. ., & Ullah, N. . (2022). Analgesic Efficacy of Ropivacaine Infiltration in Puncture Site of Mini Percutaneoius Nephrolithotomy Tract: Ropivacaine Infiltration in Mini Percutaneous Nephrolithotomy Tract. Pakistan BioMedical Journal, 5(1), 322–326.



Original Article