Randomized Controlled Trial Of Lower Pressure Pneumoperitoneum In Reducing Shoulder Tip Pain After Elective Laparoscopic Cholecystectomy
Sandeep Yeleti
, Gordon Rangad , Jayanta K.Das
Laparoscopic Cholecystectomy, Shoulder pain, pneumoperitoneum
Laparoscopic cholecystectomy is commonly used for cholelithiasis but Post-operative shoulder pain is one of the most frequent complaints,leading to delayed recovery. The shoulder pain may be derived from multiple sources including the pressure created by thepneumoperitoneum,..Several studies have explored the concept of using lower pressures but the findings varied .A randomized double blind controlled clinical trial was done atNazareth hospital, Shillong,Meghalaya state during 2015 comparing the superiority and advantages of using low-pressure pneumoperitoneum with standard(normal) pressure pneumoperitoneum. Based on specific criteria for inclusion and exclusion all eligible patients of 18-65 years of age, of ASA physical status I and II, with a diagnosis of chronic calculus Cholecystitis or Cholelithiasis and scheduled to undergo elective laparoscopic cholecystectomy were screened and included after informed consent . 122 Patients were randomly allocated based on a confidential list, 62 in the standard(normal) pressure group(12-14 mmHg) and 60 in the low pressure group(7-10 mmHg).CONSORT guidelines for randomized controlled trials were strictly followed. Acute postoperative shoulder tip pain both at rest and during movement wereassessed using Visual Analogue Scale(VAS)at 0, 1, 2, 4, 6 and 24 hours postoperatively.Using a lower pressure of the pneumoperitoneum(7-10 mmHg) resulted in a significant reduction in both the frequency and the severity of postoperative shoulder tip pain as compared to standard(normal) pressures of 12-14 mmHg. Decreased the analgesic demand, reduced the hospital stay and improved the quality of life in the early stage of postoperative rehabilitation(246 words)
"Randomized Controlled Trial Of Lower Pressure Pneumoperitoneum In Reducing Shoulder Tip Pain After Elective Laparoscopic Cholecystectomy", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.4, Issue 6, page no.248 - 252, June-2019, Available :https://ijsdr.org/papers/IJSDR1906045.pdf
Volume 4
Issue 6,
June-2019
Pages : 248 - 252
Paper Reg. ID: IJSDR_190710
Published Paper Id: IJSDR1906045
Downloads: 000347192
Research Area: Biological Science
Country: Kakinada, Andhra Pradesh, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
