Document Detail


Laparoscopic cholecystectomy and postoperative pain: is it affected by intra-abdominal pressure?
MedLine Citation:
PMID:  20729688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Intra-abdominal pressure created during laparoscopic cholecystectomy is accepted as a factor for postoperative pain. In this prospective, randomized, clinical study, the goal is to determine the effects of different intra-abdominal pressure values on visceral type pain.
MATERIALS AND METHODS: Sixty women who underwent laparoscopic cholecystectomy were included in this study. Low-pressure (8 mm Hg), standard-pressure (SP: 12 mm Hg), and high-pressure (HP: 14 mm Hg) groups were designed for the study. The statistical analysis included mean age, weight, analgesic consumption, postoperative pain assessed by the Numeric Scale, duration of anesthesia, and operation.
RESULTS: No statistically significant difference was found between the groups comparing age, weight, analgesic consumption, and Numeric Scale values. In terms of duration of anesthesia, statistically significant difference was found between the groups low-pressure and HP and SP and HP, and statistically significant difference was found regarding operative duration between the groups SP and HP. There was no difference between the others groups.
CONCLUSIONS: We think that intra-abdominal pressure has no effect on postoperative visceral pain, but has effect on duration of anesthesia and operation.
Authors:
Aysun Simsek Celik; Necattin Frat; Fatih Celebi; Deniz Guzey; Rafet Kaplan; Selim Birol; Naim Memmi
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  20     ISSN:  1534-4908     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-23     Completed Date:  2011-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  220-2     Citation Subset:  IM    
Affiliation:
2nd Department of General Surgery, Vakif Gureba Education and Research Hospital, Istanbul, Turkey. draysunsimsek@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / diagnosis,  etiology,  prevention & control*
Adult
Cholecystectomy, Laparoscopic*
Cholelithiasis / surgery*
Cohort Studies
Female
Humans
Middle Aged
Pain Measurement
Pain, Postoperative / diagnosis,  etiology,  prevention & control*
Pneumoperitoneum, Artificial / adverse effects,  methods*
Pressure
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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