COMPARATIVE STUDY BETWEEN LOW PRESSURE VERSUS STANDARD PRESSURE PNEUMOPERITONEUM TO MINIMIZE SHOULDER TIP PAIN FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY.

Anuj Jindal; Gurpreet Singh Gill; Karam Singh; Nancy Sandhu

Volume : VIII, Issue : III, March - 2018

COMPARATIVE STUDY BETWEEN LOW PRESSURE VERSUS STANDARD PRESSURE PNEUMOPERITONEUM TO MINIMIZE SHOULDER TIP PAIN FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY.

Anuj Jindal, Gurpreet Singh Gill, Karam Singh, Nancy Sandhu

Abstract :

Background: Shoulder tip pain is a common complication of laparoscopic cholecystectomy. The goal of this prospective randomized controlled trial is to evaluate if low insufflation rate significantly reduces shoulder tip pain Methods: 50 patients undergoing laparoscopic cholecystectomy were randomized into low pressure pneumoperitoneum (10 mmHg) and standard pressure pneumoperitoneum (14mmHg). The degree of postoperative shoulder tip pain was assessed by mean of visual analogue scale at 4,8,12,24 hours postoperatively Results :There was a statistically significant increase in degree of postoperative pain in standard pressure pneumoperitoneum in comparison to low pressure pneumoperitoneum at 4,8,12 and 24 hours . However there was no difference in pain at 1 hour post operatively. Conclusion: Using lower than usual CO2 insufflation pressure during laparoscopic cholecystectomy reduces the intensity and frequency of post operative shoulder tip pain.