Intraperitoneal instillation of local anaesthetics with adjuvant has been used to control postoperative pain after laproscopic cholecystectomy. Aim: Compare efficacy of intraperitoneal ropivacaine with dexmedetomidine/fentanyl for postoperative analgesia in patients undergoing laparoscopic cholecystectomy. Methods: After obtaining ethical committee approval and informed consent, 62 patients aged 18-60 years, ASA I&II were divided into two groups; Group D: 18ml ropivacaine0.75% with 1µg/kg dexmedetomidine (2ml),Group F: 18ml ropivacaine0.75% with 1µg/kg fentanyl (2ml), instilled intraperitoneally after dissection of gallbladder in gallbladder fossa. Hemodynamic parameters were noted 1minute after instillation and every 15 minutes till 1hour and every hourly till 6hrs. Post-operative analgesia assessed by VAS score 1/2 hourly till 1hr and then hourly till VAS≥4 was reached. Results: Hemodynamic parameters were significantly lower in Group D upto 6hrs after instillation (p<0.05) and  VAS was lower in Group D till 8hrs(p<0.05) post instillation as compared to group F. The duration of postoperative analgesia in Group D was 6.9±1.42 hours which was significantly longer than Group F was 3.41±0.84 hours,(p=0.001). Conclusion: Intraperitoneal instillation of ropivacaine with dexmedetomidine is more effective for post operative analgesia than ropivacaine with fentanyl for patients undergoing laproscopic cholecystectomy.

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Introduction: Body image satisfaction (BIS) may have an effect on body weight, which in turn contributes to healthier lifestyle practices. The present study aimed to measure the BMI of students, and to relate this to the students’ own perceptions of their body image and assessing body image satisfaction using the Stunkard figure rating scale. Methods: A cross sectional study was carried out on 200 students selected by stratified random sampling technique. Variables that were used in the current study are perception of self-body size, ideal body size, and body size satisfaction. The assessment was carried out using the Stunkard figure rating scale. Results: Mean age of the students was 20.4 years. Mean BMI of the boys was 25.63 and of the girls was 25.09. There was a significant difference between perceived body size and body size as per BMI. Overall the girls had significantly more satisfaction with their body image as compared to boys. The body image satisfaction and BMI had positive correlation. Most of the time students thought they were thinner than they actually were, with obvious implications for health and health seeking behaviour. Conclusions: Correct perception of the body size may become the motivation to lose weight and contribute to high success rate in attaining it. A wholesome community approach is needed to change weight status perceptions and improve exercise and dietary behaviour