| A simple and effective way to reduce postoperative pain after laparoscopic cholecystectomy. | |
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MedLine Citation:
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PMID: 7611964 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J O Jorgensen; R B Gillies; D R Hunt; J R Caplehorn; T Lumley |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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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:
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Created Date: 1995-08-15 Completed Date: 1995-08-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0373115 Medline TA: Aust N Z J Surg Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 466-9 Citation Subset: IM |
Affiliation:
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Laparoscopic Research Unit, St. George Hospital, Sydney, New South Wales, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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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:
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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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