Muhammad Hasan Anwaar, Muhammad Faheem Anwer, Muhammad Asif, Muhammad Asif, Muhammad Kamran, Fizza Anwaar

Comparison of Frequency of Shoulder Tip Pain in Patients Undergoing Laparoscopic Cholecystectomy with Low and Standard Pressure Pneumoperitonium

Muhammad Hasan Anwaar, Muhammad Faheem Anwer, Muhammad Asif, Muhammad Asif, Muhammad Kamran, Fizza Anwaar



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ABSTRACT
Aim: To compare postoperative shoulder tip pain in laparoscopic cholecystectomy between low-versus standard- pressure pneumoperitoneum.
Study Design: Randomized controlled trial.
Place of Study and Duration: Department of Surgery, Allied Hospital, Faisalabad from 01-12-2017 to 01-06-2018.
Methodology: This study included 100 patients divided randomly in two equal groups. Patients in group A were subjected to standard pressure cholecystectomy while patients in group B were subjected to low pressure cholecystectomy. The main outcome measure was shoulder tip pain which was compared in two groups in first 4 hours after surgery.
Results: In group A, 36% patients had shoulder tip pain, while in group B, 8% patients had shoulder tip pain, with a p-value of 0.001, which is statistically significant.
Conclusion: Low pressure laparoscopic cholecystectomy is better than standard pressure cholecystectomy in terms of frequency of post operative shoulder tip pain.
Keywords: Laparoscopic cholecystectomy, Standard pressure pneumoperitoneum, Low pressure pneumoperitoneum.

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