Does post‐laparoscopy pain relate to residual carbon dioxide?

  title={Does post‐laparoscopy pain relate to residual carbon dioxide?},
  author={Sherry Ann Jackson and A. S. Laurence and John C. Hill},
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… 

Disappearance of intraperitoneal gas following gynaecological laparoscopy

It is concluded that in day case gynaecological laparoscopy patients, postoperative pneumoperitoneum is short‐lived, and that by 48’h its volume and contribution to postoperative pain should be minimal.

Residual intraperitoneal carbon dioxide gas following laparoscopy for adnexal masses: Residual gas volume assessment and postoperative outcome analysis

  • S. Yi
  • Medicine
  • 2022
The author found that both the volume of residual gas and shoulder pain score were lower in patients with a drainage tube than in those without, indicating that a drainage tubes could be safely used to decrease residual gas volume and the shoulder pain scores without increasing the risk of postoperative infection.

Residual Pneumoperitoneum Volume and Postlaparoscopic Cholecystectomy Pain

It is concluded that volume of residual pneumoperitoneum is a contributing factor in the etiology of postoperative pain after laparoscopic cholecystectomy.

Effects of delayed suprapubic port removal on post-laparoscopic shoulder pain: a randomized controlled trial

DSPR is an effective CO 2 expulsion technique, resulting in significant reduction of both incidence and severity of PLSP within 24–48 h post-laparoscopy.

Pulmonary Recruitment Manoeuvre-A Novel Approach For Postoperative Pain Reduction In Laparoscopic Surgery

Postoperative pain scores were found to be significantly low in study group when compared with those of control group and this manoeuvre should be incorporated in other intra-abdominal laparoscopic surgeries and results needs to be evaluated.

Effect of CO2 gas warming on pain after laparoscopic surgery

Gas warming does not reduce, and probably increases, postoperative shoulder tip and subcostal pains and the effect of gas warming on pain after upper abdominal laparoscopic surgery.

Active intraperitoneal gas aspiration to reduce postoperative shoulder pain after laparoscopy

The simple evacuation group experienced a more intense shoulder pain 6, 12 and 24 hours after surgery than the forced aspiration group and used more analgesics.



Pain after laparoscopy related to posture and ring versus clip sterilization

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

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

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  • 1994

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  • 1980