IJGOR Navigation
About
Publication Ethics
Call For Paper
Guide to Authors
Editorial Board
Submit Manuscript
Articles
Viewing Options
[View Abstract]
[View Full Text PDF]
[View Full Text PDF]
Authors Articles on Google Scholar
Amira Mohammed Badawy
Authors Articles on Pubmed
Amira Mohammed Badawy
Preferences
Email this Article to a friend
Print this Article
Statistics
Viewed: 115
Forwarded: 0
Printed: 16
Downloaded: 137
Browse Journals By Category
Agriculture and Food Sciences
Biological Sciences
Education and Arts
Engineering
Environmental Sciences
Medical Sciences
Pharmaceutical Sciences
Physical and Natural Sciences
Social Sciences

Newsletters Subscription

International Journal of Gynecology and Obstetrics Research

Manipulating gas deflation to reduce laparoscopic post-operative pain

Amira Mohammed Badawy

MD, Lecturer of Obstetrics and Gynaecology, Gynae-oncology Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Alexandria University, Egypt.

Accepted 22 June, 2017

Citation: Badawy AM (2017). Manipulating gas deflation to reduce laparoscopic post-operative pain. International Journal of Gynecology and Obstetrics Research, 3(1): 024-030.

Copyright: © 2017 Badawy AM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are cited.

Abstract

Pneumoperitoneum is essential during laparoscopic surgeries. However, residual intra-abdominal gas was proved to be responsible for postoperative upper abdominal and shoulder-tip pain. The current study aimed to assess the safety and efficacy of active gas deflation at the end of gynaecologic laparoscopic surgeries, as a method to reduce post-operative gas-induced pain. The study included 40 cases, planned for operative laparoscopy for benign gynaecologic indications. Cases were randomly allocated to one of the 3 designed groups; Group-A (10 cases), where passive rapid gas deflation was done, group-B (15 cases), where passive slow gas deflation was done, and group-C (15 cases), where gas was rapidly and actively deflated. Postoperative pain was assessed by Visual Analogue Scale (VAS) at 1, 6, 24 hours and 7 days after operation. Postoperative analgesic requirements and frequency of nausea and vomiting were also recorded. The overall results showed that postoperative VAS was significantly less in group C. Total amount of analgesia needed in group C and B was significantly less compared to group A (p=0.0001). We concluded that active aspiration of residual gas at the end of gynaecologic laparoscopy significantly reduces postoperative pain. This simple clinical manoeuvre may also reduce postoperative nausea and vomiting.

Keywords: Gynaecologic laparoscopy, shoulder tip pain, gas deflation, gas aspiration, post laparoscopy pain.

Related Articles