A comparative study between low and high pressure pneumopertoneum for the reduction of shoulder- tip pain following laparoscopic cholecystectomy.
ABSTRACT: Laparoscopic cholecystectomy is the " Golds standard "for the operative treatment of gallstones and now is commonly performed in Nepal. A common problem with this procedure is the postoperative shoulder-tip pain, which occurs frequently following laparoscopic cholecystectomy. T...
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| LEADER | 03307 a2200253 4500 | ||
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| 003 | OSt | ||
| 005 | 20220906184546.0 | ||
| 008 | 191202b ||||| |||| 00| 0 eng d | ||
| 952 | |0 0 |1 0 |2 NLM |4 0 |6 THS_00106_MAS_2002_000000000000000 |7 0 |9 586 |a NHRC |b NHRC |d 2012-07-16 |l 0 |o THS-00106/MAS/2002 |p THS-00106 |r 2012-07-16 |w 2012-07-16 |y TR | ||
| 999 | |c 580 |d 580 | ||
| 060 | |a THS-00106 | ||
| 100 | |a Maskey, Sandesh Prakash. |9 1753 | ||
| 245 | |a A comparative study between low and high pressure pneumopertoneum for the reduction of shoulder- tip pain following laparoscopic cholecystectomy. | ||
| 260 | |c c2002. | ||
| 300 | |a xi, 55p. : | ||
| 500 | |a Thesis Report. | ||
| 520 | |a ABSTRACT: Laparoscopic cholecystectomy is the " Golds standard "for the operative treatment of gallstones and now is commonly performed in Nepal. A common problem with this procedure is the postoperative shoulder-tip pain, which occurs frequently following laparoscopic cholecystectomy. Thus the aim of this prospective randomized clinical trial was to evaluate the efficacy of a low-pressure carbon dioxide pneumoperitoneum during laparoscopic surgery in reducing the incidence of postoperative shoulder-tip pain. Methods: A prospective randomized study was done on sixty-four consecutive patients undergoing laparoscopic cholecystectomy. The patients were divided into low-pressure (group A) and high-pressure (group B) laparoscopic cholecystectomy groups. Patients in group A (n=34.) underwent laparoscopic cholecystectomy with 9-10mmHg carbon dioxide pneumoperitoneum during most of the operation and those in group B (n=344) had laparoscopic cholecystectomy with 13-14 mmHg pneumoperitoneum. Shoulder-tip pain was recorded on a verbal rating pain scoring system on the evening of the operation day, in the morning of the first postoperative day and in the morning of the second postoperative day. Results: The low-pressure pneumoperitoneum did not increase the duration of surgery siginifacantly. There were no significant intraoperative or postoperative complications in either group. Six patients (18.2%) in group A and ten patients (30.3%) in - group B complained of shoulder-tip pain in the morning of the first postoperative day. (P<0.0024). Nine (27.2%) patients in group A and twelve patients. (36.4%) in-group B complained of shoulder pain in the morning of the second postoperative day. The intensity of shoulder-tip pain on the morning of the first postoperative day and second postoperative day and second postoperative day was lower in the low-pressure laparoscopic cholecystectomy group. Postoperative analgesia requirements were also significantly lower in the low-pressure laparoscopic cholecystectom group. (P<0.0004) In conclusion, a carbon dioxide pneumoperitineum pressure of 9-10 mmHg can be used to perform laparoscopic surgery without compromising the suirgery, reduces both the frequency and intensity of shoulder-tip pain. Postoperative analgesia requirements as reflected by the number of doses of doses of narcotic analgesics were also significantly lower. | ||
| 546 | |a Eng. | ||
| 650 | |a Low and high pressure. |9 3264 | ||
| 650 | |a Pneumpoperitoneum. |9 3265 | ||
| 650 | |a Laparoscopic. |9 3266 | ||
| 650 | |a Cholecystectomy. |9 970 | ||
| 856 | |u http://nhrc.gov.np/contact/ |y Visit NHRC Library | ||
| 942 | |2 NLM |c TR | ||