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21 May 2022 (Vol 45 , Iss 04 )

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31 May 2022 (Vol 45 , Iss 03 )

Journal ID : TMJ-30-10-2021-10760
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Title : Right shoulder-tip pain following laparoscopic cholecystectomy

Abstract :

Right shoulder-tip pain repeatedly mentioned in most literature as a subsequent sequel of laparoscopic cholecystectomy. The aim of study is to evaluate the Incidence of Right Shoulder Tip Pain after Laparoscopic Cholecystectomy. A prospective study. All patients exposed to laparoscopic cholecystectomy where checked postoperatively for the presence or absence of right shoulder-tip pain during the 1st ten days. sociodemographic variables like age, gender, BMI of patients in addition to measuring the clinical variables related to studied cases like duration of surgery, occurrence of spillage of bile, washing by normal saline, time of start postoperative pain, time of end postoperative pain. One hundred patients enrolled in this prospective study. There were 71 patients (71%) complaining of postoperative right shoulder-tip pain (group A) started at the first 48 hours after operation, and 29 patients (21%) did not complain of postoperative shoulder pain (group B). Results showed no significant difference in terms of age, gender, BMI, and spillage of bile &/or stones in either group. Incidence of right shoulder tip pain postoperatively was significantly lower when we used intraperitoneal normal saline irrigation. Right shoulder tip pain can be kept to minimum if the duration of surgery is reduced. Right shoulder-tip pain, which may occur post-laparoscopic cholecystectomy, is variable in duration, severity and character.

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