Effectiveness of Neuro Muscular Blockade in Conjunction of Low pneumoperitoneum in Resolving Postoperative Shoulder Pain in Laparoscopic Hysterectomy

Background: Laparoscopic hysterectomy procedures are evolving and upgraded leading to more enhanced patient carelevels. Post-operative shoulder pain after laparoscopic pneumoperitoneum is a common concern among laparoscopicsurgeons and an annoying symptom causing discomfort of cases.Aim: The research study investigates the difference between lowpressure level pneumoperitoneum 8mmHg in conjunctiondeep neuromuscular blockade in comparison to classic level pneumoperitoneum pressure 12mmHg in conjunction tomoderate neuromuscular blockade if it could decrease the frequency of shoulder pain after performance of laparoscopichysterectomy.Methodology: A prospective research study that recruited 32 study subjects were randomized to either deep neuromuscularblockade and 8mmHg pneumoperitoneum (research Group 8-Deep) or moderate neuromuscular blockade and 12mmHgpneumoperitoneum (research Group 12-Moderate)both research groups were equal in number and were observedpostoperatively for pain using VAS scoring system.Conclusions and recommendations: The current research study reveal and displays that the conjunction of deepneuromuscular blockade and low pressure level pneumoperitoneum decreased the frequency and severity of shoulder painafter performance of laparoscopic hysterectomy in comparison to moderate level neuromuscular blockade and classiclevel –pressure pneumoperitoneum.