| Author/Editor | Krčevski-Škvarč, N; Gerjevič, B | |
| Title | Early postoperative pain following laparoscopic and open cholecystectomy | |
| Type | članek | |
| Source | In: Busato G, editor. Proceedings of the 9th Alpe Adria symposium of anaesthesia, critical medicine and pain therapy; 1996 Jun 15-16; Gorizia. Gorizia: Fonazione cassa di rirspamio, | |
| Publication year | 1996 | |
| Volume | str. 173-7 | |
| Language | eng | |
| Abstract | The curgical technique of cholecystectomy affects the postoperative course as well as the postoperative pain. It is not clear to what extent the surgical technique affects the intensity of early postoperative pain in the recovery room. In our retrospective study of 45 patients after laparoscopic cholecystectomy (LC) and 45 patients after open cholecystectomy (OC) we attempted to establish the intensity of immediate postoperative pain and the application of analgesics in the recovery room. All patients had the same inhalation anaesthesia in combination with an analgesic (isoflurane, fentanyl). Pain severity was evaluated according to a verbal ratting scale (VRS) of 5 words and registered for statistical analysis (mean value, standard deviation, Student's t-test) in numbers from one to 5. Pain severity was evaluated immediately upon arrival in the recovery room prior to analgesic application and 20 minutes later, as well as before transfer to the department. Upon arrival in the recovery room the patients with OC evaluated their pain as 2+-0.9, those with LC 1.7+-0.7. Prior to analgesics applicatoin the patients with OC evaluated their pain as 2.3+-0.9. The pain following analgesic administration was evaluated as 1.6+-0.5 by LC patients and 1.9+-0.7 by OC patients. LC patients were transferred to the department with pain evaluated as 1.4+-0.6, OC patients with 1.7+-0.5. Patients with OC had consumed 84 g metamizole and 134.mg piritramide, patients with LC only 80 g metamizole and 92.5 mg piritramide. We found there was no significant difference between OC and LC patients as regards the evaluation of pain on admission to the recovery room and prior to analgesics application. Characteristic difference in pain evaluation were registered after the administration of the analgesic and on discharge to the department. Patients after OC required quantities of analgesics for pain relief.( Abstract truncated) | |
| Descriptors | CHOLECYSTECTOMY PAIN, POSTOPERATIVE PAIN MEASUREMENT CHOLECYSTECTOMY, LAPAROSCOPIC ANALGESICS |