To evaluate post-operative shoulder tip pain in low pressure (10MMHG Co2) versus standard pressure (14MMHG Co2) pneumoperitoneum in laparoscopic cholecystectomy
A one year randomized controlled trial hospital-based study
Keywords:
laparoscopic cholecystectomy, cholelithiasis, shoulder tip pain, pneumoperitoneum, carbon dioxide, visual analogue scaleAbstract
Background: Nowadays, the gold standard of care for cholelithiasis is laparoscopic cholecystectomy (LC). After a LC, post-operative shoulder tip pain is a typical complaint. The main cause of this shoulder tip pain is pneumoperitoneum caused by carbon dioxide. The present study was undertaken to evaluate the post-operative shoulder tip pain in low pressure (10MMHG Co2) versus standard pressure (14MMHG Co2) pneumoperitoneum in LC. Method: A prospective randomized controlled trial incorporating 70 patients with symptomatic uncomplicated cholelithiasis who underwent LC using a four-port technique. Patients were divided randomly in two groups: 35 patients underwent Low Pressure LC (10MMHG Co2) (Group-A), and another 35 patients underwent Standard Pressure LC (14MMHG Co2) (Group-B). Postoperative shoulder tip pain was assessed at 4, 8 and 24 h after operation by the Visual Analogue Scale (VAS) of Pain. Results: 11 patients (31.42%) in group B complained of post-operative shoulder tip pain as compared to only 4 patients (11.42%) in group A which was statistically significant, (P=0.0414).
Downloads
References
Mc sherry CK. Cholecystectomy: the gold standard: Am J Surg. 1989; 158:174-8.
Gurusamy KS, Vaughan J, Davidson BR. Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy. Cochrane Database Syst Rev. 2014;(3). CD006930.
Hua J, Gong J, Yao L, Zhou B, Song Z. Low-pressure versus standard pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis. Am J Surg. 2014;208(1):143–50.
Agarwal L, Kumawat S, Jain SA, Yadav A, Sharma S. Correlation of shoulder tip pain in case of low pressure and standard pressure pneumoperitoneum post laparoscopic cholecystectomy. Int Surg J 2021; 8:1522-5.
Mandal A, Ghosh A, Bakshi S. Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy: a comparative study. Int Surg J 2020; 7:1551-61.
Nematihonar B, Fahimihanzaei H, Kamranmanesh M, Memary E, Shahbazi A and Mirkheshti A. Comparison postoperative shoulder pain, nausea, and vomiting between low and normal pressure pneumoperitoneum in laparoscopic cholecystectomy. Ann Anesth Crit Care. 2017; 2(2): e14917.
Kassem M, Emam MM, Abd El-Maksoud MA. Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy. The Egyptian Journal of Hospital Medicine 2019;75 (3):2499-2504.
Agrawal V, Kanojiya R, Nagar A, Saini V, Rathod H, Goyal R. Right shoulder tip pain in standard vs low pressure co2 pneumoperitoneum in laparoscopic cholecystectomy- a comparative study. International Journal of Scientific Research 2021;10(8): 34-35.
Yasir M, Mehta KS, Banday VH, Aiman A, Masood I, Iqbal B. Evaluation of post operative shoulder tip pain in low pressure versus standard pressure pneumoperitoneum during laparoscopic cholecystectomy. Surgeon. 2012;10(2):71-4.
Barczynski M, Herman RM. A prospective randomized trial on comparison of low-pressure (LP) and standard-pressure (SP) pneumoperitoneum for laparoscopic cholecystectomy. Surg Endosc 2003;17(4):533e8.
Sarli L, Costi R, Sansebastiano G, Trivelli M, Roncoroni L. Prospective randomized trial of low-pressure pneumoperitoneum for reduction of shoulder-tip pain following laparoscopy. Br J Surg 2000;87(9):1161e5.
Faisal Bilal Lodhi, Riaz Hussain. Laparoscopic cholecystectomy; Low-pressure pneumoperitoneum for shoulder-tip pain. Prof Med J 2003;10(4):266e70.
Sandhu T, Yamada S, Ariyakachon V, Chakrabandhu T, Chongruksut W, Ko-iam W. Low-pressure pneumoperitoneum versus standard pneumoperitoneum in laparoscopic cholecystectomy: a prospective randomized clinical trial. Surg Endosc 2009;23(5):1044e7.
Published
How to Cite
Issue
Section
Copyright (c) 2024 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.