Optimizing Pain Management Following Laparoscopic Cholecystectomy RCT

Zagazig University804 enrolled

Overview

evaluating the two final steps we added to optimize post laparoscopic cholecystectomy pain management.

Introduction: After a laparoscopic cholecystectomy (LC), pain is still a significant concern, leading to extended hospital stays or readmissions. In majority of patients, postoperative pain medications are required. A standardized strategy is needed to offer effective pain relief postoperatively. The majority of pain in the early postoperative period is due to elimination of intraperitoneal surface tension or of parietal type. Aim of the work: to evaluate the two final steps we added to optimize postoperative pain management. Patients and methods: Over the period from March 2020 to December 2021, 816 patients with gallbladder stone undergoing LC were randomized into 2 groups after exclusion of 12 patients: Group A; interventional contained 402 patients. Group B; control contained 402 patients. Post-operative data to be compared were made in terms of operative time, shoulder pain, upper abdominal pain, (at 6,12,18 and 24 hours) and number of analgesic doses and hospital stay. Pain intensity was assessed by using the visual analogue scale (VAS) for each patient.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

804

Conditions

Acute Post-operative Pain Cholecystectomy, Laparoscopic Pain Assessment Pain Intensity Pain Intensity

Interventions

active gas aspirationPROCEDURE

sucking remaining Co2 from the peritoneal cavity and local anaesthetic application at port sites

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who were having symptoms consistent with biliary colic, * had ultrasound evidence of gall stones, * classified as American Society of Anesthesiology (ASA) I and II * ages ranging from 18 to 65 years Exclusion Criteria: * Patients who refused to give consent, * pregnant, * had a history of drug abuse, * had CBD stones, * acute cholecystitis, * acute pancreatitis, * previous abdominal surgery, * history of peritonitis, * had carcinoma of the gall bladder Patients who were converted to open surgery, * patients who required placement of drains * patients with intraoperative complications (CBD injury or liver bed bleeding).

Locations (1)

Zagazig University

Zagazig, Egypt

Outcomes

Primary Outcomes

postoperative pain intensity

severity by visual analogue scale

Time frame: 6 - 24 hours

Secondary Outcomes

hospital stay

numbers of days

Time frame: 1-5 days

Data from ClinicalTrials.gov

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