Effect of Normal Saline Irrigation on Attenuation of Shoulder Tip Pain and on β-Endorphin Levels After Laparoscopic Cholecystectomy

Seo, Youn Kyoung; Lee, Hee Jong; Ha, Tae Kyung; Lee, Kyeong Geun

doi:10.1089/lap.2011.0365

Cited by 11 publications

(7 citation statements)

References 15 publications

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“…Also, intraperitoneal irrigation of sodium bicarbonate was found to have a better pain relief profile compared with normal saline. Also, the trials of peritoneal irrigation with normal saline resulted in better carbon dioxide wash with consecutive better postoperative pain profile (25)(26)(27) .…”

Section: Discussionmentioning

confidence: 99%

Sodium Bicarbonate-Based Warm Saline Versus Warm Saline for Peritoneal Irrigation in Diagnostic Hysteroscopy-Laparoscopy: A Prospective Randomized Controlled Trial

Aboelela

2021

The Egyptian Journal of Hospital Medicine

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Introduction: Diagnostic hysteroscopy-laparoscopy is an essential tool in management of infertility. Mainly, postoperative pain related to insufflated cold carbon dioxide (co2), as it creates acidic milieu causing mucosal, subdiaphragmatic and phrenic nerve irritation. Sodium bicarbonate is an alkaline solution, neutralizing the acidic effects, hence reduces postoperative pain and irritation symptoms. Objectives: This study aimed to assess the efficacy of adding sodium bicarbonate to washing warm saline in hysteroscopic-laparoscopic patients regarding incidence and intensity of postoperative pain and gastrointestinal irritation symptoms. Patients and methods: 66 patients were enrolled, one was excluded due to ovarian bleeding. 33 patients in sodium bicarbonate (Na) group received 50 ml sodium bicarbonate 8.4% in 1000 ml warm saline as peritoneal irrigation solution. While 32 patients in saline (S) group the peritoneal irrigation solution was 1000 ml warm saline only. Results: Patients' demographic, hemodynamic data were comparable. Postoperative pain profile regarding shoulder tip pain, visual analogue score (VAS), and total pethidine consumption were lower in Na group. Also, postoperative nausea and vomiting (PONV) was lower in Na group. Conclusion:Adding sodium bicarbonate to warm saline as a peritoneal washing solution during hysteroscopylaparoscopy procedure resulted in better postoperative pain reduction specially shoulder tip pain and reduced the incidence of PONV. These results would improve patients' recovery and experience towards operative practice.

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Section: Discussionmentioning

confidence: 99%

Sodium Bicarbonate-Based Warm Saline Versus Warm Saline for Peritoneal Irrigation in Diagnostic Hysteroscopy-Laparoscopy: A Prospective Randomized Controlled Trial

Aboelela

2021

The Egyptian Journal of Hospital Medicine

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“…Several possibilities have been suggested to explain pulmonary volume decrease in abdominal surgery: pain, anesthesia, surgery time, surgical trauma, and others. However, nowadays, it is most accepted that this decrease is caused by diaphragmatic paresis, a reflex diaphragm inhibition consequence [28]. Sex is the single most important determinant of pulmonary function, accounting for 30% of its variation.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary function evaluation in type 2 diabetes mellitus patients submitted to metabolic surgery

et al. 2018

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Introduction: Diabetes Mellitus (DM) is a multifactorial metabolic disorder. As considered a public health problem needing additional treatment options. Objective: This prospective study aimed at evaluating pulmonary function through spirometry, before and after metabolic surgery without gastric resection in type 2 DM patients. Methods: Sample was composed by 17 type 2 DM females. They were analyzed in pre (24 hours before surgical procedure), immediate post-operative period POST1 (24 hours after surgical procedure) and in the late postoperative period POST2 (two years after surgical procedure). Besides statistical analysis, it was evaluated the following spirometric parameters: forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and the FEV1 / FVC ratio (%). Results: Spirometric parameters showed a value increase when compared PRE and POS2 values, except for FVC and FEV1, which was not statistically significant. Conclusion: Type 2 DM women submitted to metabolic surgery without gastric resection showed spirometric value increased after two-year surgical procedure, when compared to preoperative period values. It is important additional studies about pulmonary function, diabetic patients and metabolic surgery without gastric resection.

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“…When reviewing this subgroup of patients who presented with elevated EVA, we note that they found related to greater surgical manipulation or the presence during the intervention traces of blood or bile secretion in the abdominal cavity that required the use of saline to wash thereof, which is associated with higher levels of pain in individuals who undergo this type of intervention [32,33].…”

Section: Discussionmentioning

confidence: 99%

Decrease Anesthetic Requirements and Analgesics Postop, In Patients Undergoing Laparoscopic Cholecystectomy: Premedication with Acetaminophen versus Intravenous Ketorolac

Vera¹

2016

JACCOA

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Objective: To compare the effects of premedication with intravenous paracetamol versus ketorolac, in decreasing intraoperative anesthetic and postoperative opioid analgesics requirements in patients undergoing laparoscopic cholecystectomy. Method: To be determined intraoperative opioid requirements, pain and analgesic requirements in the postoperative period in 100 healthy patients undergoing laparoscopic cholecystectomy. The selection was in two groups: group 1: premedicated with paracetamol and group 2: with ketorolac, both administered intravenously 30 minutes prior to surgery. Results: There weren´t statistically significant differences between groups with respect to intraoperative remifentanil consumption (group 1: 0.0739 ± 0.016, group 2: 0.0741 ± 0.018). The number of patients in group 2 had values of VAS> 4 points (22.4%) was lower than in group 1 (28.6%), but without statistically significant difference. Of the patients who merited reinforcements postoperative opioids, most merited a single reinforcement and application of analgesics during hospitalization prevailed between 3 and 12 hours, without significant differences between groups. No adverse effects were observed in the study sample. Conclusion: Paracetamol 1g IV placed preoperatively decreased anesthetic requirements and the need for postoperative analgesics, similar to preoperative administration of ketorolac 30 mg IV.

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Effect of Normal Saline Irrigation on Attenuation of Shoulder Tip Pain and on β-Endorphin Levels After Laparoscopic Cholecystectomy

Abstract: Normal saline irrigation under the diaphragm does not reduce postoperative STP after LC. Ancillary techniques to reduce AP and STP should be considered.

Cited by 11 publications

References 15 publications

Sodium Bicarbonate-Based Warm Saline Versus Warm Saline for Peritoneal Irrigation in Diagnostic Hysteroscopy-Laparoscopy: A Prospective Randomized Controlled Trial

Sodium Bicarbonate-Based Warm Saline Versus Warm Saline for Peritoneal Irrigation in Diagnostic Hysteroscopy-Laparoscopy: A Prospective Randomized Controlled Trial

Pulmonary function evaluation in type 2 diabetes mellitus patients submitted to metabolic surgery

Decrease Anesthetic Requirements and Analgesics Postop, In Patients Undergoing Laparoscopic Cholecystectomy: Premedication with Acetaminophen versus Intravenous Ketorolac

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