A comparative study between low and normal pressure pneumoperitoneum in laparoscopic cholecystectomy with special refere
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Hellenic Journal of Surgery (2016) 88:1, 13-17
A Comparative Study Between Low and Normal Pressure Pneumoperitoneum in Laparoscopic Cholecystectomy with Special Reference to Shoulder Tip Pain Umesh Krishnegowda, Arun kumar Gupta, Rani Sharma, Nikhil Gupta, C.K. Durga
Abstract Introduction: Post laparoscopic cholecystectomy pain syndrome is well recognized and characterized by abdominal
and particularly shoulder tip pain. This study was designed to compare postoperative shoulder tip pain after laparoscopic cholecystectomy at low pressure (7-8 mm of Hg) and standard pressure (12-14 mm of Hg). Materials: This prospective randomized study was conducted in the Department of Surgery, PGIMER, Dr.RML
Hospital, New Delhi after receiving approval from the hospital's Ethical Committee. Patients were divided into two groups of 59 patients each. Group A patients underwent laparoscopic cholecystectomy with low pressure pneumoperitoneum (7-8 mm Hg) while group B underwent laparoscopic cholecystectomy with standard pressure pneumoperitoneum (12-14 mm Hg). Results: The mean visual analogue pain score of postoperative shoulder tip pain was significantly less intense in the low
pressure group at 6, 12, and 24 hours than that recorded for the normal pressure group (P
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