Does post‐laparoscopy pain relate to residual carbon dioxide?

@article{Jackson1996DoesPP,
  title={Does post‐laparoscopy pain relate to residual carbon dioxide?},
  author={Sherry Ann Jackson and A. S. Laurence and John C. Hill},
  journal={Anaesthesia},
  year={1996},
  volume={51}
}
We studied 20 day case gynaecological laparoscopy patients, who had an erect chest X ray taken before discharge. Patients were telephoned the next day for a semi‐structured interview. Particular note was made of shoulder tip pain and pain relieved by changing posture. The X ray was analysed for measurements of the length of arc and height of the gas bubble under each hemi‐diaphragm, from which an estimation of bubble volume was also made. We found statistically significant correlations between… 

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References

SHOWING 1-5 OF 5 REFERENCES

Pain after laparoscopy related to posture and ring versus clip sterilization

TLDR
Although tilting was found to be of no significant benefit there were two useful findings: there was doubling in lower abdominal pain during the first 6 h associated with the use of Falope rings for sterilization, compared with either Hulka clip sterilization or only diagnostic laparoscopy.

Das postpelviskopische-(laparoskopische) Schmerzsyndrom

TLDR
The most likely cause of the post-laparoscopic pain syndrome is the effect of the volume of the remaining gas of the phrenic nerve.

STICKLE B . LAURENCE AS . Gynaecological laparoscopyday case or overnight stay ' ?

  • Brilisli Jourtiol qf ' Anriesthesiri
  • 1994

SEMM K . The post - laparoscopic pain syndrome

  • Gi ~ hirrt . rhilfe Frouenheilkd
  • 1980