Assessment of Post-Laparoscopic Cholecystectomy Pain at Viet Duc Hospital, Vietnam

Abstract

Gallstones are common and costly in the world. This disease also have high health burden with high mortality. Currently, Laparoscopic Cholecystectomy has become a gold standard for surgical treatment of symptomatic gallstones. Pain is usually the first concern after surgery. Postoperative pain decreases with time but it is severe enough to interfere with daily activities of patients. Pain after the surgery is also affected by many factors. This cross-sectional study aimed to 1) assess pain intensity and interference pain with daily activities; 2) describe the association between pain intensity and interference with daily activities of patients; 3) explore factors that influence postoperative pain after Laparoscopic Cholecystectomy. Data were collected by 50 patients who were undergoing Laparoscopic Cholecystectomy completed questionnaire including the Visual Analogue Scale (VAS) and the Brief Pain Inventory (BPI). Data were analyzed based on three aims. As this is the first time that this type of study is conducted in Vietnam, it is expected that the results will contribute significantly to local knowledge and should add to global perspectives. From understanding the factors that affect severity of pain, this study is expected to design nursing intervention strategies to improve daily activities among patients undergoing LC.

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“…Gallstone disease (GSD) is a major public health concern worldwide, with disease prevalence in Europe amounting to 20% of the population and in the range of 2%–15% in Asia 1–4. In Vietnam, GSD is a common disease – the infected rate found through a number of community surveys ranged from 2.14% to 6.11% 5. The main cause of GSD in Vietnam, similar to other developing countries, has been found to be the parasitic infection.…”

Early Postoperative Pain Intensity after Laparoscopic Cholecystectomy and Associated Risk Factors

“…Our result is in consistency with the findings of previous literatures which showed that fear of surgical procedure might increase in postoperative LC pain intensity. 6,10 Ali et al also reported that patients with high preoperative anxiety had higher postoperative VAS score. 14 In addition,Bakr et al revealed that the patients receiving preoperative anxiety intervention before surgery showed lower pain scores as compared to the patients who did not receive preoperative anxiety intervention.…”

“…Previous studies have shown that pain after surgery is influenced by various factors such as age, gender, preoperative pain, type of surgery, duration of surgery [6][7][8] and preoperative anxiety seems to be an important predictor for acute postoperative pain intensity. 7,9,10 Also, preoperative sensitivity to cold pressor induced pain was identified as an independent risk factor for early postoperative pain. 5 After obtaining the written informed consent, relevant data regarding demographic characteristics, preoperative anxiety level, preoperative sensitivity to cold pressor induced pain, pre and post operative pain intensity, duration of surgery etc.…”

Percutaneous Transhepatic Cholecystolithotomy by Holmium Laser for Non"&#".ord($0).";""&#".ord($0).";""&#".ord($0).";"high-Risk Patients with Symptomatic Gallbladder Stones

“…In developing countries, 10% to 15% of men and >25% of women experience gallstones ( 1 , 2 ). In Vietnam, gallstones occur in approximately 2.14% to 6.11% of the population ( 3 ).…”