11. Pulmonary Recruitment Maneuver: An Effective Way to Reduce Postoperative Pain after Laparoscopic Cholecystectomy
Muhammad Umar Farooq, Farooq Ahmad, Faisal Rauf and Muhammad Iqbal
ABSTRACT
Objective: To compare mean laparoscopy induced shoulder pain score with and without pulmonary recruitment maneuver in patients undergoing laparoscopic cholecystectomy.
The aim of this study is to evaluate the efficacy of pulmonary recruitment maneuver in reducing post operative pain after laparoscopic cholecystectomy. Study Design: Randomized control trial study
Place and Duration of Study: This study was conducted at the conducted at Department of Surgery, Unit-III, Jinnah Hospital Lahore from May 2016 to June 2017.
Materials and Methods: Both males and females of age between 16-60 years were included in the study. Group 1 consists of 30 patients who underwent intervention and Group II placebo group who are healthy participants. Clinically and sonographically diagnosed case of cholelithiasis and chronic cholecystitis underwent laparoscopic cholecystectomy by two senior consultant surgeons.
Results: The mean age of 60 patients was (37.33±9.837) years. More females 43 (71.7%) were in study as compared to males 17 (28.3%). On comparison, age, operative time, body mass index, VAS at 12th hour, VAS at 24th hour, there was statistically significant difference in pain score at 12 hours between intervention and placebo group, however, the difference was not significant at 24 hours.
Conclusion: Pulmonary recruitment manure is helpful in reducing early postoperative pain at 12hours however there was no difference in pain score after 24 hours.
Key Words: Laparoscopy induced shoulder pain, Laparoscopic cholecystectomy, Pulmonary recruitment maneuver, Visual analogue scale.
Citation of articles: Farooq MU, Ahmad F, Rauf F, Iqbal M. Pulmonary Recruitment Maneuver: An Effective Way to Reduce Postoperative Pain after Laparoscopic Cholecystectomy. Med Forum 2018;29(1):47-50.