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 .
The clinical impact of warmed insufflation carbon dioxide gas for laparoscopic cholecystectomy
Abstract Background : Reports suggest that the insufflation of cold gas to produce a pneumoperitoneum for laparoscopic surgery can lead to an intraoperative decrease in core body temperature and increased postoperative pain . Methods : In a r and omized controlled trial with 20 patients undergoing laparoscopic cholecystectomy , the effect of insufflation using carbon dioxide gas warmed to 37 ° C ( group W ) was compared with insufflation using room-temperature cold ( 21 ° C ) gas ( group C ) . Intraoperative body core and intra-abdominal temperatures were determined at the beginning and end of surgery . Postoperative pain intensity was evaluated using a visual analog scale and recording the consumption of analgesics . Results : There were no significant group-specific differences during the operation , neither in body temperature ( group W : 36.1 ± 0.4 ° C vs group C : 35.7 ± 0.6 ° C ) nor in intra-abdominal temperature ( group W : 35.9 ± 0.3 ° C vs group C : 35.6 ± 0.6 ° C ) . Postoperatively , the two groups did not differ in pain susceptibility and need of analgesics . Conclusion : The use of carbon dioxide gas warmed to body temperature to produce a pneumoperitoneum during short-term laparoscopic surgery has no clinical ly important effect
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 .