Postoperative abdominal and shoulder pain that are experienced in patients undergoing laparoscopic cholecystectomy (LC) is significant. Although it is generally less sever than post open cholecystectomy pain, it still causes an avoidable distress in the first 24 hours postoperatively
The incidence of pain after laparoscopy may be as high as 36 to 63 percent and is attributed to the carbon dioxide gas (CO2) used to induce pneumo-peritoneum1. The residual part of CO2 remains in the peritoneal cavity for several days after the operation and causes stretching of the phrenic nerve endings, local hypothermia, and diaphragmatic irritation by carbonic acid formation
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
110
instillation of local anaesthetic in the abdominal cavity at the end of the procedure
instillation of local anaesthetic in the abdominal cavity at the end of the procedure
instillation of local anaesthetic + morphine sulfate in the abdominal cavity at the end of the procedure
Assiut University Hospitals
Asyut, Egypt
postoperative level of ACTH hormone
a stress marker that increase with pain and surgery
Time frame: 6 hours
VISUUEAL ANALOGE SCORE
to assess postoperative pain
Time frame: 24 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
instillation of local anaesthetic + morphine sulfate + ketamine in the abdominal cavity at the end of the procedure