We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Distinctive shoulder-tip pain post laparoscopic cholecystectomy: retrospective survey.
- Authors
Masood, Irum; Rasheed, Haris; Raheem, Ahmed
- Abstract
Background: Laparoscopic cholecystectomy is the par excellence surgical treatment for gallstone disease. In spite of numerous benefi ts on top of open cholecystectmy, some patients had pain around the shoulder tip aft er laparoscopic cholecystectmy. Th e goal of our study was to assess frequency, signifi cant or non-signifi cant factors may aff ect on incidence or severity and distinct surgical techniques to keep down shoulder tip pain. Material and Methods: A retrospective single centre study in Ziauddin University Hospital Karachi. In one year period from January 2016-December 2016, total 280 laparoscopic cholecystectmy patients were included. Results: Total 280 patients underwent for surgery with a standard pressure pnumo-peritoneum at 12-14 mmHg in a one year period. We found 3 (1.07%) patients with shoulder tip pain. 2 were male, 1 was female with average age was 34+6.5 (range 13). All patients dealt with the proper suction irrigation and gas aspiration, abdomen pressed down for forced out gas at the end of procedure. Average pain score+SD was 8.3± 0.57 (range 1), 5.3±1.15 (range 2), 0.3+ 0.57 at 6,12 and 24 hours respectively with average time duration of surgery was 51+7.6 minutes (range 15 minutes). Conclusion: Th e shoulder tip pain aft er laparoscopic cholecystectmy is dependent on a multiple factors. Some surgical techniques and interventions can reduce pain by gas aspiration with suction irrigation. Th e pressure of pneumo-peritoneum, increase intraoperative time duration had no eff ect on the incidence or severity of shoulder tip pain. Female pre-ponderance but no role of age as a cause of shoulder tip pain.
- Subjects
GALLSTONE treatment; CHOLECYSTECTOMY; SHOULDER pain; DISEASE incidence; LAPAROSCOPIC surgery; RETROSPECTIVE studies
- Publication
Pakistan Journal of Surgery, 2017, Vol 33, Issue 4, p265
- ISSN
0258-8552
- Publication type
Article