Abstract
Background: The most common form of therapy for benign biliary illness is laparoscopic cholecystectomy. After laparoscopic cholecystectomy, pain is still a significant problem that can lead to extended hospital stays or readmissions. Objective: This paper contributes to assessing the incidence of postoperative shoulder pain after laparoscopic cholecystectomy. Patients and Methods: This paper was interested to study the incidence of postoperative shoulder pain after laparoscopic cholecystectomy, where focused on laparoscopic cholecystectomy, which included 60 cases within females and males. Where this study is considered a cross-sectional study was conducted between 16th July 2021 to 15th August 2022 in different hospitals in Iraq into ages above 40 to 65 years. This paper was conducted to analysis and produce all characteristics and demographic of data by the SPSS program. This paper was focused on the role of the drain in a decrease of shoulder pain into patients who do laparoscopic cholecystectomy. Where the methodology of the data was conducted with two groups. Which the first group presents patients without drain use, have 30 cases, while the second group presents the control group with drain use and have 30 cases. Discussion: It is interesting to note that the pain felt after a laparoscopy procedure is very different from the pain experienced after a laparotomy. In fact, patients reported more visceral pain after surgical laparoscopy than parietal (abdominal wall) pain after laparotomy. Gynecologists first noticed shoulder pain during early laparoscopic sterilization trials, which is a typical complaint after laparoscopic surgery. After laparoscopic cholecystectomy, the incidence varies, although it is often encountered by about a third of patients. It generally lasts two to three days. During standard-pressure laparoscopic cholecystectomy as well as low-pressure laparoscopic cholecystectomy, the mean postoperative pain scores at 6, 12, and 24 hours were 3.0, 3.9, 2.5, 2.0, 3.0, and 1.29, respectively. Finally, this study found that pain score was assessed by VAS, where the pain was found to decrease during extension of time surgery. Conclusion: Our results achieved successes for the patient through comparisons between Based on VAS scoring of pain degree, this study discovered that the pain score was evaluated using the VAS and that drain helps to decrease the shoulder pain into patients where our study found paints group still suffered of pain due to no drain use while controls group has got out of pain due to drain use
Keywords
Post-operative laparoscopic; Shoulder pain; cholecystectomy; blood pressure; and Drain