This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .
A simple and effective way to reduce postoperative pain after laparoscopic cholecystectomy.
The aims of this study were to see if laparoscopic cholecystectomy is associated with a similar postoperative pain pattern to gynaecological laparoscopy and to see whether the use of a suprahepatic suction drain makes recovery from laparoscopic cholecystectomy more comfortable . After routine laparoscopic cholecystectomy and insertion of a suprahepatic suction drain , patients were r and omized to suction or no suction on the drain . The time course of the severity of wound , abdominal and shoulder tip pain was assessed by visual analogue scales administered in the morning and afternoon of the first 3 postoperative days . The control group had a high incidence of shoulder tip pain similar to that after gynaecological laparoscopy . Patients in the treatment group reported significantly less shoulder tip pain than the control group ( O.R. 0.16 , 95 % CI , 0.06 - 0.40 ) . There was a tendency for the treatment group to report reduced abdominal and , to a lesser extent , wound pain . The authors recommend suprahepatic suction as a simple and more effective way to improve patient comfort after laparoscopic cholecystectomy
This approach has been design ed to provide adequate analgesia while minimizing exposure to adverse events
Background : Laparoscopic cholecystectomy has advantages over the open procedure for postoperative pain .
However , a systematic review of postoperative pain management in this procedure has not been conducted .