Shoulder pain is a common problem following laparoscopic adjustable gastric band surgery. Obes Surg ; A simple clinical maneuver to reduce laparoscopy-induced shoulder pain: a randomized controlled trial. Obstet Gynecol ; The effect of CO2 insufflation rate on the postlaparoscopic shoulder pain. Pain after laparoscopy. Surg Endosc ; Laparoscopy is a minimally invasive surgical technique in which abdominal surgery is performed through tiny "keyhole" incisions on the abdomen.
View of the stomach and liver at the end of the procedure. The distension can be easily appreciated. Images displayed on TV monitors provide magnification of the surgical field and help with accuracy and precision. The abdomen is insufflated like a balloon, with carbon dioxide gas to elevate the abdominal wall above the internal organs to create a working and viewing space. CO 2 is used because it is naturally present in the human body, can be absorbed by tissues and easily removed by the respiratory system.
It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures. Advantages of laparoscopic surgery include reduced pain due to smaller incisions, decreased need for pain medications and reduced blood loss and need for transfusions due to improved visualization, and shorter recovery time.
Another advantage due to the decrease in the exposure of internal organs to external contaminants is lesser risk of infection and adhesion formation. One type of pain that is unique to laparoscopy is the post laparoscopy shoulder pain due to the phrenic nerve irritation to the diaphragm caused by the CO 2 gas that remains in the abdomen at the end of the procedure. When the patient sits up, the gas moves upwards to the diaphragm and irritates the shoulder.
We conducted a study where we evaluated post-laparoscopy patients for pain scores and narcotic use at 1 hour, 4 hours, 8 hours or at discharge and then 24 hours and 48 hours. Combined low pressure pneumoperitoneum and intraperitoneal infusion of normal saline for reducing shoulder tip pain following laparoscopic cholecystectomy. World J Surg. Prevention of postlaparoscopic shoulder and upper abdominal pain: a randomized controlled trial.
Shoulder pain Upper abdominal pain Laparoscopic surgery Abdominal fullness. National Library of Medicine U. National Institutes of Health U. Department of Health and Human Services. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Shoulder Pain Nausea.
Procedure: Pulmonary recruitment maneuver Procedure: Intraperitoneal normal saline infusion Procedure: combined group Procedure: Control group. Phase 3. Study Type :. Interventional Clinical Trial.
Estimated Enrollment :. Study Start Date :. Estimated Primary Completion Date :. Estimated Study Completion Date :. Experimental: Pulmonary recruitment maneuver A pulmonary recruitment maneuver consisting five manual pulmonary inflations was performed with a maximum pressure of 60 cmH2O.
Experimental: combined group The upper part of the abdominal cavity was evenly and bilaterally filled with the 0. Give us a call today to schedule an appointment. Related Posts. June 8, This website or its third-party tools process personal data. To find out more about how your information is used please read our Privacy Policy. If you wish to opt out, you can do so by clicking the link: do not share my information.
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