Pain after laparoscopy related to posture and ring versus clip sterilization
| Autor: | Michael G.R. Hull, J. I. Alexander, F. F. Dobbs, Vineet Kumar |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
medicine.medical_specialty
Time Factors Sterilization Tubal Vomiting Posture Diagnostic laparoscopy Random Allocation Lower abdominal pain Humans Medicine CLIPS Laparoscopy computer.programming_language Pain Postoperative medicine.diagnostic_test business.industry Obstetrics and Gynecology Nausea Surgery Endoscopy Sterilization (medicine) Upper abdominal pain Female Peritoneal diseases business computer |
| Zdroj: | BJOG: An International Journal of Obstetrics and Gynaecology. 94:262-266 |
| ISSN: | 1471-0528 1470-0328 |
| DOI: | 10.1111/j.1471-0528.1987.tb02365.x |
| Popis: | In an attempt to reduce pain after laparoscopy presumed to be due to persistence of CO2 in the peritoneal cavity especially under the diaphragm women were kept 30 degrees head down for 30 minutes immediately after operation. By random selection 67 treated patients were compared with 64 kept flat postoperative symptoms being recorded at fixed times for 3 days. Although tilting was found to be of no significant benefit there were 2 useful findings. In both groups there was a significant fall in the frequency of upper abdominal pain during the 1st postoperative night from about 53% to about 25% followed by a rise after returning home on the 1st postoperative day to about 60% and only a slow fall in the next 2 days. The severity of pain followed the same pattern. Patients should be warned to expect increased pain on ambulation after leaving the hospital. Also there was a doubling in lower abdominal pain during the 1st 6 hours associated with the use of Falope rings for sterilization compared with either Hulka clip sterilization or only diagnostic laparoscopy. (authors) |
| Databáze: | OpenAIRE |
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