Open AccessA Prospective Randomized Control Trial to Study the Role of Intraperitoneal Irrigation with Normal Saline in Reduction of Postoperative Pain In Patients Undergoing Laparoscopic Cholecystectomy
Author(s) -
Pankaj Shivhare,
Pankaj Dugg,
Harmanpreet Singh,
Susheel K. Mittal,
Ashwani Kumar
Publication year - 2014
Publication title -
archives of clinical and experimental surgery
Language(s) - English
Resource type - Journals
ISSN - 2146-8133
DOI - 10.5455/aces.20140108064318
Subject(s) - medicine , saline , laparoscopic cholecystectomy , randomized controlled trial , reduction (mathematics) , anesthesia , cholecystectomy , surgery , postoperative pain , general surgery , geometry , mathematics
Aim: The study was performed to examine the effect of intraperitoneal irrigation with normal saline on postoperative abdominal and shoulder pain following laparoscopic cholecystectomy.Methods: 60 patients with symptomatic gallstone disease undergoing laparoscopic cholecystectomy were randomized in two groups. In study group A (n=30 patients) 30ml/kg of 0.9% normal saline was instilled at the gallbladder bed, while no intervention was performed on control group B (n=30).Results: Abdominal pain was worst during the first 24 hours after laparoscopic cholecystectomy. At 6, 12 and 24 hrs, group A exhibited significantly less abdominal pain than group B. Group A also experienced less shoulder tip pain during the first postoperative day as compared to the control group. Conclusion: Intraperitoneal irrigation with normal saline is effective in reducing postoperative abdominal and shoulder tip pain following laparoscopic cholecystectomy. [Arch Clin Exp Surg 2014; 3(4.000): 213-219