Journals / Laparoscopic Endoscopic Surgical Science / 2018 / Cilt: 25 - Sayı: 2

The relationship between early postoperative pain and intraperitoneal residual gas after laparoscopic cholecystectomy

Pages
59–63
DOI
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⚡ TL;DR(Too Long; Didn't Read)

When the gas volume at the sixth hour was compared, the LC with aspiration group was found todemonstrate a significantly smaller volume than the other 2 groups (p<0.05).Conclusion: Fully aspirating the gas in the abdomen after LC will increase patient comfort by reducing backand shoulder pain commonly observed in the early postoperative period.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: This study was designed to investigate the relationship between laparoscopic cholecystectomy (LC) patients’ abdominal residual gas volume and abdominal pain in the early postoperative period,and to investigate the effect of draining the residual gas in different ways on abdominal and shoulder pain.Materials and Methods: The study included 63 patients who were undergoing an elective LC.
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Key Findings & Data:The patientswere divided into 3 groups of equal number: a simple LC group, in which carbon dioxide was drained from theabdomen without any further treatment; an LC with aspiration group; and an LC group with a drain placedin the gallbladder bed after the procedure.
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Conclusion & Impact:When the gas volume at the sixth hour was compared, the LC with aspiration group was found todemonstrate a significantly smaller volume than the other 2 groups (p<0.05).Conclusion: Fully aspirating the gas in the abdomen after LC will increase patient comfort by reducing backand shoulder pain commonly observed in the early postoperative period.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Introduction: This study was designed to investigate the relationship between laparoscopic cholecystectomy (LC) patients’ abdominal residual gas volume and abdominal pain in the early postoperative period,and to investigate the effect of draining the residual gas in different ways on abdominal and shoulder pain.Materials and Methods: The study included 63 patients who were undergoing an elective LC. The patientswere divided into 3 groups of equal number: a simple LC group, in which carbon dioxide was drained from theabdomen without any further treatment; an LC with aspiration group; and an LC group with a drain placedin the gallbladder bed after the procedure. Posteroanterior chest radiography was performed on all of thepatients at the sixth postoperative hour to determine the amount of residual gas under the diaphragm. Postoperative shoulder and abdominal pain were evaluated using the visual analogue scale (VAS).Results: There were no significant differences related to age, weight, sex, or surgical duration. There wasa statistically significant difference at the first postoperative hour between the group that had only an LCand the LC with aspiration group when the VAS shoulder and abdominal pain scores of the 3 groups werecompared. When the gas volume at the sixth hour was compared, the LC with aspiration group was found todemonstrate a significantly smaller volume than the other 2 groups (p<0.05).Conclusion: Fully aspirating the gas in the abdomen after LC will increase patient comfort by reducing backand shoulder pain commonly observed in the early postoperative period.

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Cite This Article

ÖZGÖNÜL, A., YALÇIN, M., ÖTER, V., TATLI, F., YÜCEL, Y. (2018). The relationship between early postoperative pain and intraperitoneal residual gas after laparoscopic cholecystectomy. Laparoscopic Endoscopic Surgical Science, Cilt: 25 - Sayı: 2, 59–63. https://ajindex.com/articles/345127

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References (14)

  1. Yoshida T, Kobayashi E, Suminaga Y, Yamauchi H, Kai T, Toyama N, et al. Hormone-cytokine response. Pneumoperitoneum vs abdominal wall-lifting in laparoscopic cholecystectomy. Surg Endosc 1997
  2. 907–10. [CrossRef] 2. Ortega AE, Peters JH, Incarbone R, Estrada L, Ehsan A, Kwan Y, et al. A prospective randomized comparison of the metabolic and stress hormonal responses of laparoscopic and open cholecystectomy. J Am Coll Surg 1996
  3. 249–56. 3. Kafali H, Karaoglanoglu M, Oksuzler C, Bozkurt S. Active intraperitoneal gas aspiration to reduce postoperative shoulder pain after laparoscopy. The Pain Clinic 2013
  4. 97–200. 4. Wills VL, Hunt DR. Pain after laparoscopic cholecystectomy. Br J Surg 2000
  5. 273–84. [CrossRef] 5. Riedel HH, Semm K. The post-laparoscopic pain syndrome (author’s syndrome) [Article in German]. Geburtshilfe Frauenheilkd 1980
  6. 635–43. 6. Puttick MI, Scott-Coombes DM, Dye J, Nduka CC, MenziesGow NM, Mansfield AO, et al. Comparison of immunologic and physiologic effects of CO2 pneumoperitoneum at room and body temperatures. Surg Endosc 1999
  7. 572–5. [CrossRef] 7. Jacobs VR, Morrison JE Jr. Warmed insufflation carbon dioxide gas for laparoscopic cholecystectomy. Surg Endosc 2001
  8. 1244–5. [CrossRef] 8. Jacobs VR, Morrison JE Jr, Mettler L, Mundhenke C, Jonat W. Measurement of CO(2) hypothermia during laparoscopy and pelviscopy: how cold it gets and how to prevent it. J Am Assoc Gynecol Laparosc 1999
  9. 289–95. [CrossRef] 9. Nguyen NT, Furdui G, Fleming NW, Lee SJ, Goldman CD, Singh A, et al. Effect of heated and humidified carbon dioxide gas on core temperature and postoperative pain: a randomized trial. Surg Endosc 2002
  10. 1050–4. [CrossRef] 10. Fredman B, Jedeikin R, Olsfanger D, Flor P, Gruzman A. Residual pneumoperitoneum: a cause of postoperative pain after laparoscopic cholecystectomy. Anesth Analg 1994
  11. 152– 4. [CrossRef] 11. Korell M, Schmaus F, Strowitzki T, Schneeweiss SG, Hepp H. Pain intensity following laparoscopy. Surg Laparosc Endosc 1996
  12. 375–9. [CrossRef] 12. Menke H, John KD, Klein A, Lorenz W, Junginger T. Preoperative risk assessment with the ASA classification. A prospective study of morbidity and mortality in various ASA classes in 2,937 patients in general surgery [Article in German]. Chirurg 1992
  13. 1029–34. 13. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007
  14. 175– 91. [CrossRef] 14. I