EAS Publisher | Outcome of Post-Operative Shoulder Pain in Laparoscopic Cholecystectomy with and without Drain

Outcome of Post-Operative Shoulder Pain in Laparoscopic Cholecystectomy with and without Drain

DOI : https://doi.org/10.36349/easjms.2021.v03i02.002

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Abstract: Background: The main reason to use prophylactic drainage in laparoscopic cholecystectomy (LC) is to reduce complications such as intra-abdominal collections thereby decreasing the overall mortality and morbidity rate but it has been reported that placement of drain leads to shoulder pain. The pain disappeared spontaneously within 1-3 days and occurred in 23% of the group with drains and 4% in the group without drains [1]. Materials and Methods: In this prospective randomized comparative study, 60 patients of ASA physical status I and II belonging to age group of 18-70 years undergoing elective laparoscopic cholecystectomy were randomly allocated into 2 groups of 30 patients each, Group A (LC with drain) and Group B (LC without drain) patients were assessed in terms of post-operative shoulder pain from post-operative day-1 to day-4 which was measured using visual analogue scale (VAS). Results: Shoulder pain was significantly higher in Group A (LC with drain) in comparison to Group B (LC without drain) at post-operative day-1 to day-4. Conclusion: In the patients undergoing laparoscopic cholecystectomy, use of subhepatic drain is associated with increased shoulder pain.

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