A SIMPLE AND EFFECTIVE WAY TO REDUCE POSTOPERATIVE PAIN AFTER LAPAROSCOPIC CHOLECYSTECTOMY

被引:71
作者
JORGENSEN, JO
GILLIES, RB
HUNT, DR
CAPLEHORN, JRM
LUMLEY, T
机构
[1] ST GEORGE HOSP,LAPAROSCOP RES UNIT,SYDNEY,NSW 2217,AUSTRALIA
[2] UNIV SYDNEY,DEPT PUBL HLTH,SYDNEY,NSW 2217,AUSTRALIA
[3] UNIV SYDNEY,CTR CLIN TRIALS,SYDNEY,NSW 2217,AUSTRALIA
来源
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1995年 / 65卷 / 07期
关键词
LAPAROSCOPIC CHOLECYSTECTOMY; POSTOPERATIVE PAIN; SHOULDER TIP PAIN; SUCTION DRAIN;
D O I
10.1111/j.1445-2197.1995.tb01787.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aims of this study were to see if laparoscopic cholecystectomy is associated with a similar postoperative pain pattern to gynaecological laparoscopy and to see whether the use of a suprahepatic suction drain makes recovery from laparoscopic cholecystectomy more comfortable. After routine laparoscopic cholecystectomy and insertion of a suprahepatic suction drain, patients were randomized to suction or no suction on the drain. The time course of the severity of wound, abdominal and shoulder tip pain was assessed by visual analogue scales administered in the morning and afternoon of the first 3 postoperative days. The control group had a high incidence of shoulder tip pain similar to that after gynaecological laparoscopy. Patients in the treatment group reported significantly less shoulder tip pain than the control group (O.R. 0.16, 95% CI, 0.06-0.40). There was a tendency for the treatment group to report reduced abdominal and, to a lesser extent, wound pain. The authors recommend suprahepatic suction as a simple and more effective way to improve patient comfort after laparoscopic cholecystectomy.
引用
收藏
页码:466 / 469
页数:4
相关论文
共 8 条
[1]   ABDOMINAL-PAIN AFTER LAPAROSCOPY - THE VALUE OF A GAS DRAIN [J].
ALEXANDER, JI ;
HULL, MGR .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1987, 94 (03) :267-269
[2]  
CHAMBERLAIN G, 1984, BRIT J OBSTET GYNAEC, V1, P367
[3]   POSTOPERATIVE PAIN - A COMPARISON OF LAPAROSCOPIC STERILIZATION AND DIAGNOSTIC LAPAROSCOPY [J].
DAVIS, A ;
MILLAR, JM .
ANAESTHESIA, 1988, 43 (09) :796-797
[4]   PAIN AFTER LAPAROSCOPY RELATED TO POSTURE AND RING VERSUS CLIP STERILIZATION [J].
DOBBS, FF ;
KUMAR, V ;
ALEXANDER, JI ;
HULL, MGR .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1987, 94 (03) :262-266
[5]   POSTOPERATIVE PAIN AFTER LAPAROSCOPIC STERILIZATION [J].
MCKENZIE, R .
ANAESTHESIA, 1989, 44 (05) :450-450
[6]   THE ANALYSIS OF LONGITUDINAL POLYTOMOUS DATA - GENERALIZED ESTIMATING EQUATIONS AND CONNECTIONS WITH WEIGHTED LEAST-SQUARES [J].
MILLER, ME ;
DAVIS, CS ;
LANDIS, JR .
BIOMETRICS, 1993, 49 (04) :1033-1044
[7]  
SEMM K, 1980, GEBURTSHILFE FRAUEHE, V40, P635
[8]   ADJUSTED P-VALUES FOR SIMULTANEOUS INFERENCE [J].
WRIGHT, SP .
BIOMETRICS, 1992, 48 (04) :1005-1013