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ISSN 2063-5346
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A COMPARATIVE STUDY TO ASSESS THE IMPACT OF LOW PRESSURE VERSUS STANDARD PRESSURE PNEUMOPERITONEUM ON SHOULDER TIP PAIN AFTER LAPAROSCOPIC SURGERY

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Dr Vinayak Pillai, Dr Mallikarjun Babugowda Patil, Dr Vikram Sindgikar, Dr Dayanand Biradar,Dr Anand Suntan
» doi: 10.48047/ecb/2023.12.si4.1566

Abstract

In an effort to lessen the effect of pneumoperitoneum on human physiology while still giving appropriate working space, a new trend has been the use of low pressures for pneumoperitoneum in the range of 7–10 mm Hg. The advantages of low pressures during pneumoperitoneum appear to be a lower incidence of shoulder tip pain in the postoperative period and also better quality of life in the week following surgery. Objectives 1.To study the advantages of low-pressure pneumoperitoneum and its impact on decreasing postoperative complications, especially shoulder tip pain.2.Correlating the duration of laparoscopic surgery and its impact on shoulder tip pain. Methods: This is a prospective comparative study of patients undergoing laparoscopic surgeries in B.L.D.E.(D.U)’S Shri B.M.Patil Medical College and Hospital with a sample size of 90.Results:Postoperative shoulder tip pain scores were significantly low in the low pneumoperitoneal pressure group, according to our study, with a p-value of < 0.00. The duration of surgery also had a significant impact on shoulder tip pain. Procedures that exceeded more than 1 hour were associated with more shoulder tip pain (p-value of <0.00). The analgesic requirement and duration of stay in hospital was also less in the low pneumoperitoneal pressure group.

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