Effect of Low Pressure Pneumoperitoneum on Shoulder Tip Pain: A Prospective Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 4
Abstract
As laparoscopic procedures are done by a small incision made at a site away from the operative field, space is very limited in laparoscopic surgeries. Hence, for adequate exposure and to facilitate the space for proper handling of the instruments required for performing laparoscopic surgery abdominal wall has to be lifted up. This can be achieved by either mechanical abdominal wall elevators or by creating pneumoperitoneum. And this pneumoperitoneum is created by insufflating carbon dioxide in the abdominal cavity using a pressure regulating automatic insufflators. However, this raised intra-abdominal pressure is related with some negative effects on circulatory & respiratory systems, as well as on the kidneys, but many advantages are well established of procedures done laparoscopically. The study presented here shows the effect of raised intra-abdominal pressure on shoulder tip pain particularly in laparoscopic cholecystectomy.
Authors and Affiliations
Songra Bhupen, Rahar Dinesh, Jain Divya
Keywords
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