To study the frequency and intensity of postoperative shoulder tip pain(VAS) score in standard pressure v/s low pressure cholecystectomy.

Abstract

Background &Method: The aim of this study is to study the frequency and intensity of postoperative shoulder tip pain (VAS) score in standard pressure v/s low pressure
cholecystectomy. Patients with acute cholecystitis and with complications of gallstone
disease like gallbladder perforation, empyema, and common bile duct stone were excluded
from the study. Ethical clearance from the Institute Ethics Committee was taken. The
procedure was explained in detail and informed consent taken.
Result:The comparison of Operative difficulties between the two groups. It was observed
that there was a significant difference in Operative difficulties (p value of <0.001). The
comparison of VAS between the two groups. It was observed that there was no significant
difference in Comparison of VAS (p value of >0.001).
Conclusion:In conclusion, low pressure pneumoperitoneum does result in some benefit to the
patient in the form of lower intensity of postoperative pain but the impact on intra-operative
hemodynamics is not significant. This needs to be examined through a more complex set up
and probably a larger sample size that includes a significant numbers of patients with
cardiovascular comorbid conditions.