Does Post-laparoscopy Pain Relate to Residual Carbon Dioxide?

Overview

Journal Anaesthesia

Specialty Anesthesiology

Date 1996 May 1

PMID 8694166

Citations 52

Authors

S A Jackson

A S Laurence

J C Hill

Affiliations

Soon will be listed here.

Abstract

We studied 20 day case gynaecological laparoscopy patients, who had an erect chest X ray taken before discharge. Patients were telephoned the next day for a semi-structured interview. Particular note was made of shoulder tip pain and pain relieved by changing posture. The X ray was analysed for measurements of the length of arc and height of the gas bubble under each hemi-diaphragm, from which an estimation of bubble volume was also made. We found statistically significant correlations between both the length of arc (p = 0.005) and volume of gas bubble (p = 0.008) on the right side, with the pain score. Residual gas can be a prominent cause of post-laparoscopy pain.

Citing Articles

The effect of lung-recruitment maneuver on postoperative shoulder pain in patients undergoing laparoscopic cholecystectomy: a randomized controlled trial.

Noh Y, Kwon E, Bang Y, Yoon S, Hwang H, Jeong H J Anesth. 2024; 38(6):839-847.

PMID: 39276226 DOI: 10.1007/s00540-024-03403-8.

Active gas aspiration in reducing pain after laparoscopic cholecystectomy: a systematic review and meta-analysis of randomized controlled trials.

Haneef A, Aljohani E, Alzahrani R, Alowaydhi H, Alarif G, Bukhari M Surg Endosc. 2024; 38(2):597-606.

PMID: 38212468 DOI: 10.1007/s00464-023-10651-4.

The influence of the pulmonary recruitment maneuver on post-laparoscopic shoulder pain in patients having a laparoscopic cholecystectomy: a randomized controlled trial.

Samarah B, Shehada F, Qaddumi J, Almasry N, Alhroub N, ALBashtawy B Surg Endosc. 2023; 37(11):8473-8482.

PMID: 37752263 DOI: 10.1007/s00464-023-10450-x.

Port Site Morbidities Following the Extraction of the Gallbladder from the Umbilical Port in Comparison to the Epigastric Port in Laparoscopic Cholecystectomy: A Double-Blinded, Randomized Controlled Trial.

Anand A, Jha A, Kumar M, Kumar S, Kumar P Cureus. 2023; 15(9):e45770.

PMID: 37745735 PMC: 10515674. DOI: 10.7759/cureus.45770.

Pulmonary recruitment maneuver reduces the intensity of post-laparoscopic shoulder pain: a systematic review and meta-analysis.

Deng X, Li H, Wan Y, Lin X BMC Anesthesiol. 2023; 23(1):155.

PMID: 37142975 PMC: 10158010. DOI: 10.1186/s12871-023-02107-y.