Active Gas Aspiration to Reduce Pain After Laparoscopic Cholecystectomy
| Autor: | Mustafa Ozbagriacik, Omer Faruk Akinci, Ibrahim Atak, Nejla Inan Ayta, Mehtap Ozdemir, Ismail Ege Subasi, Nejdet Bildik |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Turkey medicine.medical_treatment Group ii Analgesic law.invention Randomized controlled trial Shoulder Pain law Confidence Intervals medicine Health Status Indicators Humans Laparoscopic cholecystectomy Pain Postoperative Chi-Square Distribution Pulmonary Gas Exchange business.industry Analgesia Patient-Controlled Length of Stay Middle Aged Abdominal Pain Surgery Cholecystectomy Laparoscopic Anesthesia Female Cholecystectomy medicine.symptom business Chi-squared distribution |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 21:98-100 |
| ISSN: | 1530-4515 |
| DOI: | 10.1097/sle.0b013e318213c301 |
| Popis: | Objective To investigate to what effect active subdiaphragmatic gas aspiration reduces pain after a laparoscopic cholecystectomy. Materials and methods A total of 104 patients undergoing laparoscopic cholecystectomy were randomly placed into 2 groups. Group I included active subdiaphragmatic gas aspiration (n=52) while group II included simple evacuation (n=52) without any additional procedures. Postoperative analgesic requirements were recorded and the level of postoperative abdominal and shoulder pain was assessed using a numeric scale after 24 postoperative hours. Data were analyzed using the χ test for nonparametric data and Student t test for parametric data. Results Age, volume of CO2 used during surgery, and operation duration were similar in the 2 groups. The simple evacuation group (group II) experienced more shoulder and abdominal pain postoperatively when compared with the active subdiaphragmatic aspiration group (group I) and had a higher use of analgesics during the postoperative period. Conclusions Active subdiaphragmatic gas aspiration after a laparoscopic cholecystectomy is a simple procedure that can effectively reduce postoperative abdominal and shoulder pain and as a result the need for analgesics. |
| Databáze: | OpenAIRE |
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