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Evaluation of pain scores after single‐incision and conventional laparoscopic cholecystectomy: A randomized control trial in a rural Indian population
Author(s) -
Borle Firoz R,
Mehra Bhupendra K,
Jain Sheelchand
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12071
Subject(s) - medicine , silc , laparoscopic cholecystectomy , randomized controlled trial , visual analogue scale , postoperative pain , cholecystectomy , surgery , anesthesia , physics , optoelectronics , quantum tunnelling
Abstract Introduction Single‐incision laparoscopic cholecystectomy ( SILC ) is considered to be less invasive and have less morbidity than conventional laparoscopic cholecystectomy ( CLC ). However, there is a relative paucity of data regarding postoperative pain scores in rural Indian populations following SILC . Also, data pertaining to the applicability of SILC in rural Indian population are scant. Methods In the present randomized control trial, pain scores after SILC and CLC were evaluated. Sixty patients with gallstone disease were randomly assigned to one of two groups with 30 patients each: the CLC group and the SILC group. Postoperative pain scores were recorded on the visual analog scale at 8 hours, 24 hours and 7 days after surgery. Results The patients were comparable with respect to age, sex and BMI . Operative time was longer for the SILC group (47.73 ± 5.57 min vs 69.53 ± 8.96 min; P < 0.0001).The pain scores were similar in both groups at 8 hours (3.61 ± 0.41 vs 3.50 ± 0.51; P = 0.36) and 24 hours (3.30 ± 0.59 vs 3.20 ± 0.40; P = 0.44) postoperatively. On day 7, the SILC group had lower pain scores than the CLC group (2.56 ± 0.56 vs 1.16 ± 0.37; P < 0.01). Conclusion There was no distinct advantage to SILC with regard to immediate postoperative pain. Pain was significantly less ( P < 0.01) in the SILC group on postoperative day 7.