Does post-laparoscopy pain relate to residual carbon dioxide?
- PMID: 8694166
- DOI: 10.1111/j.1365-2044.1996.tb07798.x
Does post-laparoscopy pain relate to residual carbon dioxide?
Abstract
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 both the length of arc (p = 0.005) and volume of gas bubble (p = 0.008) on the right side, with the pain score. Residual gas can be a prominent cause of post-laparoscopy pain.
Comment in
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Peritoneal tear leads to leakage of carbon dioxide into the peritoneal cavity.Surg Endosc. 2004 Jan;18(1):170. doi: 10.1007/s00464-003-9016-x. Epub 2003 Jul 21. Surg Endosc. 2004. PMID: 14973744 No abstract available.
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