Effect of intraperitoneal CO(2) concentration on postoperative pain after laparoscopic cholecystectomy
- Abstract
- PURPOSE: This study set out to identify the association between the intraperitoneal CO(2) concentrations and postoperative pain by dividing the participants into a control group and 2 experimental groups receiving irrigation (1 L and 2 L), and directly measuring their intraperitoneal CO(2) concentrations with a CO(2) gas detector. METHODS: A total of 101 patients, American Society of Anesthesiologists physical status classification I and II patients aged 18-65 years were enrolled in the study. Group 1 did not receive irrigation with normal saline, while groups 2 and 3 were administered irrigation with 1 L and 2 L of normal saline, respectively, after laparoscopic cholecystectomy. Intraperitoneal CO(2) concentrations were measured with a CO(2) gas detector through the port, and postoperative pain was assessed on a visual analogue scale at 6, 12, and 24 hours after surgery. RESULTS: The intraperitoneal CO(2) concentrations were 1,016.0 ± 960.3 ppm in group 1, 524.5 ± 383.2 ppm in group 2, and 362.2 ± 293.6 ppm in group 3, showing significantly lower concentrations in groups 2 and 3. Postoperative pain was significantly lower in group 3 at 6 hours after surgery, and in groups 2 and 3 at 12 hours after the surgery. However, there was no significant difference between the 3 groups in postoperative pain 24 hours after the surgery. CONCLUSION: This study found a causal relationship between the amount of normal saline used for irrigation and the intraperitoneal CO(2) concentrations in that irrigation with normal saline reduces pain on the day of the surgery.
- All Author(s)
- J. W. Chung
; K. S. Kang
; S. H. Park
; C. S. Kim
; J. H. Chung
; S. H. Yoo
; N. S. Kim
; Y. H. Seo
; H. S. Jung
; H. R. Chun
; H. Y. Gong
; H. I. Jung
; S. H. Bae
; S. Y. Park
- Issued Date
- 2017
- Type
- Article
- Keyword
- Intraperitoneal carbon dioxide; Saline waters; Postoperative period pain; Carbon dioxide gas detector
- ISSN
- 2288-6575
; 2288-6796
- Citation Title
- Annals of Surgical Treatment and Research
- Citation Volume
- 93
- Citation Number
- 4
- Citation Start Page
- 181
- Citation End Page
- 185
- Language(ISO)
- eng
- DOI
- 10.4174/astr.2017.93.4.181
- URI
- http://schca-ir.schmc.ac.kr//handle/2022.oak/296
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