Intra-Peritoneal normal saline installation minimize post laparoscopic cholecystectomy shoulder pain in patient admitted to diwaniya teaching hospital Al-Shammari Ali Jawad Hamza1,*, Alobaidi Qusai A2, Al-Faham Akeel M.3 1FICMS, General surgeon, University of Al-Qadisiyah, College of Medicine, Iraq 2FICMS, University of Kufa, College of Medicine, General surgeon Al-Sader medical City, Iraq 3C.A.B.S, Consultant surgeon, AlSader Medical City, Iraq *Corresponding author Ali Jawad Hamza Al-shammari Email; jabirbhn3@gmail.com Mob: 009647827966949
Online published on 1 November, 2018. Abstract Although laparoscopic cholecystectomy significantly reduce post-operative morbidity still post-operative shoulder pain is relatively a problem in most of the patients. Objective To evaluate the efficacy of intraperitoneal instillation of normal saline in minimization of post-operative shoulder pain. Patients and Methods This was a prospective study in which 200 patients underwent laparoscopic cholecystectomy in Diwaniya teaching hospital were randomly divided to two groups. In the group A: no intraperitoneal instillation of normal saline was used. In the group B: intraperitoneal instillation of normal saline under the right hemidiaphragm few minutes following the completion of operation with aspiration at the end of operation. Postoperatively shoulder pain score was registered on a visual analogue scale during 2, 6, 12 hours postoperatively and any additional analgesic requirements were registered. Results Shoulder pain score revealed a significant decrease in group B versus controls A at 2, 6, 12 hours postoperatively. Conclusion Intraperitoneal instillation of normal saline minimize postoperative shoulder pain in laparoscopic cholecystectomy. Top Keywords laparoscopic cholecystectomy, shoulder pain. Top |