Postoperative Pain Reduction After Additional Intraperitoneal Suction Following Laparoscopic Cholecystectomy: A Prospective Randomized Controlled Study

Authors

  • Akkaraphorn Deeprasertvit Department of Surgery, Police General Hospital, Bangkok 10330
  • Pichaya Deeprasertvit Department of Anesthesiology, Police General Hospital, Bangkok 10330
  • Nisa Netcharussaeng Department of Anesthesiology, Police General Hospital, Bangkok 10330

Keywords:

Post-laparoscopy pain syndrome; laparoscopic cholecystectomy; intra-abdominal pressure

Abstract

Objective: To compare postoperative pain between conventional CO2 releasing method and additional suction after laparoscopic cholecystectomy (LC) considering PCA Morphine consumption which makes pain measurement more accurate than pain score.
Methods: Eligible patients with indication for LC were randomly assigned preoperatively either to have the conventional CO2 releasing method, or an additional 60 seconds of suction after LC. We collected demographic data, postoperative pain at 6, 12 and 24 hours, residual intraperitoneal pressure, operative time, intraoperative Morphine amount and Morphine PCA amount in 24 hours. Pain evaluation by PCA amount was designed to get more accurate primary outcomes.
Results: The patients were similarly distributed. Residual intraperitoneal pressure was statistically significantly different. Morphine PCA amount in both groups were not significantly different. Postoperative pain level at 6, 12 and 24 hours as secondary outcomes showed that suction group seemed to have slightly higher pain score at 6 and 12 hours but at 24 hours post LC, pain in suction group tended to be a bit lower than in non-suction group.
Conclusion: Additional CO2 suction from this study does not reduce postoperative pain. However, with a larger study population, it might help us to consider results in the intervention group better.

Downloads

Published

09-03-2018

How to Cite

Deeprasertvit, A., Deeprasertvit, P., & Netcharussaeng, N. (2018). Postoperative Pain Reduction After Additional Intraperitoneal Suction Following Laparoscopic Cholecystectomy: A Prospective Randomized Controlled Study. Siriraj Medical Journal, 70(1), 1–5. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/114887

Issue

Vol. 70 No. 1 (2018): Jan-Feb

Section

Original Article

License

Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:

  • Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.