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Related Experiment Videos

Pain after laparoscopy.

W G Mouton1, J R Bessell, K T Otten

  • 1Department of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Woodville 5011, South Australia, Australia.

Surgical Endoscopy
|May 5, 1999
PubMed
Summary

Postlaparoscopy pain is common, often requiring opioids. Surgeons can reduce patient discomfort by modifying techniques, such as managing intra-abdominal pressure and using local anesthesia.

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Area of Science:

  • Minimally Invasive Surgery
  • Pain Management
  • Surgical Techniques

Background:

  • Postlaparoscopy pain affects up to 80% of patients, frequently necessitating opioid analgesia.
  • Pain is multifactorial, with surgeons able to influence several contributing factors through technique modification.

Purpose of the Study:

  • To review literature on postlaparoscopy pain.
  • To identify factors contributing to postlaparoscopy pain.
  • To provide recommendations for pain reduction.

Main Methods:

  • Literature review on postlaparoscopy pain.

Main Results:

  • Identified factors include phrenic nerve neuropraxia, intraperitoneal acidity, residual gas, insufflation characteristics (humidity, volume), wound size, drains, anesthetic effects, and patient-specific factors.
  • These factors contribute to postlaparoscopy pain to varying degrees.

Conclusions:

  • Recommendations for pain reduction include considering patient individuality, using local anesthesia at port sites, maintaining low intra-abdominal pressure (<15 mmHg), using humidified gas, administering NSAIDs, evacuating gas, and judicious drain use.

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