INTRAPERITONEAL NORMAL SALINE INFUSION FOR POSTOPERATIVE PAIN AFTER LAPAROSCOPIC CHOLECYSTECTOMY

Citation
Ec. Tsimoyiannis et al., INTRAPERITONEAL NORMAL SALINE INFUSION FOR POSTOPERATIVE PAIN AFTER LAPAROSCOPIC CHOLECYSTECTOMY, World journal of surgery, 22(8), 1998, pp. 824-828
Citations number
12
Categorie Soggetti
Surgery
Journal title
ISSN journal
03642313
Volume
22
Issue
8
Year of publication
1998
Pages
824 - 828
Database
ISI
SICI code
0364-2313(1998)22:8<824:INSIFP>2.0.ZU;2-2
Abstract
After laparoscopic surgery carbon dioxide remains within the peritonea l cavity for a few days, commonly causing pain. This prospective rando mized study was performed to determine the efficacy of intraperitoneal infusion of normal saline on postoperative pain after laparoscopic ch olecystectomy. Altogether 300 patients were randomly assigned to one o f five groups of 60 patients each. Group A: control group, no peritone al infusion, no subhepatic drain. Group B: no peritoneal infusion but a subhepatic closed drain was left for 24 hours. Group C: normal salin e 25 to 30 ml/kg body weight at a temperature of 37 degrees C was infu sed under the right hemidiaphragm and left in the peritoneal cavity, G roup D: normal saline in a room temperature was infused under the righ t hemidiaphragm and suctioned after the pneumoperitoneum was deflated. Group E: normal saline was infused and suctioned as in group D, but a subhepatic closed drain was left for 24 hours. Postoperatively, analg esic medication usage, nausea, vomiting, and pain scores mere determin ed at 2, 6, 12, 24, 48, and 72 hours (during hospitalization and at. h ome). Postoperative pain was reduced significantly (p < 0.001) in the patients of groups C, D, and E versus controls, whereas no difference was observed between groups A and B. Among groups C, D, and E, group E (p, < 0.01) had the best results followed by group D and then group C . Intraperitoneal normal saline offered a detectable benefit to patien ts undergoing laparoscopic cholecystectomy The beneficial effect was b etter when the fluid was suctioned after deflation of the pneumoperito neum and even better when a subhepatic closed drain continued fluid su ction during the first postoperative hours.