Background: Postoperative pain following laparoscopic cholecystectomy (LC) is complex and influenced by multiple factors. Dexamethasone has been investigated for its potential to reduce postoperative pain and nausea, but its efficacy remains controversial. Materials and Methods: This prospective, randomized, double-blind, controlled trial included 108 patients undergoing elective LC. Patients were randomly assigned to receive either 5 mg dexamethasone (study group) or 1 ml normal saline (control group) 1–2 hours before surgery. Postoperative pain was assessed using the Visual Analog Scale (VAS) at 0, 2, 6, 12, and 24 hours. Data on analgesic use, postoperative nausea and vomiting (PONV), complications, and length of hospital stay were also collected. Statistical analyses were conducted using SPSS, with a p-value 0.05), with about half of the patients requiring no morphine. PONV was less frequent in the dexamethasone group (5.7% vs. 11.1%), but the difference was insignificant. Length of hospital stay was identical in both groups (2.3 ± 0.5 days). Conclusion: Dexamethasone did not significantly reduce postoperative pain or morphine use in LC patients with low baseline pain scores. Although PONV was less frequent in the dexamethasone group, the difference was not statistically significant. Future studies with larger sample sizes and standardized postoperative care are needed to clarify its role in LC pain management.
Sriphatphiriyakun et al. (2025) studied this question.