Document Detail


A simple and effective way to reduce postoperative pain after laparoscopic cholecystectomy.
MedLine Citation:
PMID:  7611964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aims of this study were to see if laparoscopic cholecystectomy is associated with a similar postoperative pain pattern to gynaecological laparoscopy and to see whether the use of a suprahepatic suction drain makes recovery from laparoscopic cholecystectomy more comfortable. After routine laparoscopic cholecystectomy and insertion of a suprahepatic suction drain, patients were randomized to suction or no suction on the drain. The time course of the severity of wound, abdominal and shoulder tip pain was assessed by visual analogue scales administered in the morning and afternoon of the first 3 postoperative days. The control group had a high incidence of shoulder tip pain similar to that after gynaecological laparoscopy. Patients in the treatment group reported significantly less shoulder tip pain than the control group (O.R. 0.16, 95% CI, 0.06-0.40). There was a tendency for the treatment group to report reduced abdominal and, to a lesser extent, wound pain. The authors recommend suprahepatic suction as a simple and more effective way to improve patient comfort after laparoscopic cholecystectomy.
Authors:
J O Jorgensen; R B Gillies; D R Hunt; J R Caplehorn; T Lumley
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  65     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-08-15     Completed Date:  1995-08-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  466-9     Citation Subset:  IM    
Affiliation:
Laparoscopic Research Unit, St. George Hospital, Sydney, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / prevention & control
Adult
Atropine / therapeutic use
Cholecystectomy, Laparoscopic*
Double-Blind Method
Drainage
Female
Humans
Injections, Intramuscular
Male
Meperidine / therapeutic use
Pain Measurement
Pain, Postoperative / prevention & control*
Premedication
Prospective Studies
Shoulder*
Suction
Chemical
Reg. No./Substance:
51-55-8/Atropine; 57-42-1/Meperidine

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


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