Document Detail

A study of pain after laparoscopic gastric banding.
MedLine Citation:
PMID:  11355028     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The introduction of the laparoscopic approach to bariatric surgery has brought similar advantages as those seen in general surgery. There have been no trials assessing postoperative pain after laparoscopic adjustable silicone gastric banding (LASGB). We compared prospectively postoperative pain and outcome in LASGB and laparoscopic cholecystectomy (LC), to determine if morbidly obese patients can expect the same benefits from a laparoscopic approach in gastric banding as those which are known for LC in non-obese and obese patients. METHODS: In a prospectively collected database of 80 patients undergoing LASGB, information including a survey assessing the postoperative pain, the amount of analgetic drugs used, operative reports, laboratory data, and follow-up data was collected. This was compared to an equal number of patients undergoing LC. Postoperatively, all patients received standardized pain medication of 150 mg tramadol per day. Pain was assessed twice on postoperative days 1-3 using a patient questionnaire. RESULTS: Patient characteristics and duration of hospital stay were similar in the two groups. Although there was no significant difference in type and intensity of pain experienced by the patients in either group, the gastric banding patients reported less postoperative pain overall than those in the LC group. CONCLUSION: The analyzed data show that LASGB offers the same advantages as other laparoscopic operations, in that it induces less pain and enables the patient to return quickly to normal activity and work. The advantage over the compared LC group may be due to higher patient motivation, but was not statistically significant.
H Nehoda; M Lanthaler; B Labeck; H Weiss; R Mittermair; K Hourmont; F Aigner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  11     ISSN:  0960-8923     ISO Abbreviation:  Obes Surg     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-05-16     Completed Date:  2001-09-13     Revised Date:  2007-12-05    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  208-11     Citation Subset:  IM    
Department of General Surgery, University Hospital of Innsbruck, Austria.
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MeSH Terms
Cholecystectomy, Laparoscopic
Gastroplasty / methods*
Length of Stay
Middle Aged
Pain Measurement
Pain, Postoperative*
Prospective Studies

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