Key result
A pulmonary recruitment manoeuvre significantly reduced postoperative abdominal and shoulder tip pain scores at 6, 12, 24, and 48 hours compared to passive gas evacuation (p=0.00).
Why the study?
Does a pulmonary recruitment manoeuvre reduce postoperative pain in patients undergoing laparoscopic surgery?
Case-Control (n=68)
Open-label
Non-randomized
No
Does a pulmonary recruitment manoeuvre reduce postoperative pain in patients undergoing laparoscopic surgery?
p-value: p=0.00
Evacuating residual pneumoperitoneum may reduce postoperative shoulder pain; leaves open confirmation in larger randomized trials.
Introduction: Shoulder tip pain and abdominal pain following laparoscopic procedures are well recognized and established causes of postoperative morbidities The etiology of this pain being multifactorial,includes volume of residual gas, type of gas used, intraperitoneal pressures and temperature of insufflated gas. Methodology: Study is an interventional case control study. Total 68 patients were enrolled in the study, 34 being in each group.Control group patients' pneumoperitoneum was evacuated passively at the end of procedure.Study group patients were placed in Trendelenburg position (30 degrees) and a pulmonary recruitment manoeuvre was utilized comprising of two mechanical inflations to a maximum pressure of 60cmH2O,each lasting for 5seconds with valves of operative ports fully open. Pain scores were asessed at 6,12,24 and 48 hour by use of validated visual analogue scale(VAS).
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Ritik Bansal (2017) conducted a case-control in Postoperative pain following laparoscopic cholecystectomy (n=68). Pulmonary recruitment manoeuvre vs. Passive evacuation of residual carbon dioxide was evaluated on Postoperative abdominal and shoulder tip pain assessed by Visual Analogue Scale (VAS) at 6, 12, 24, and 48 hours (p=0.00). A pulmonary recruitment manoeuvre significantly reduced postoperative abdominal and shoulder tip pain scores at 6, 12, 24, and 48 hours compared to passive gas evacuation (p=0.00).
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