Does post-laparoscopy pain relate to residual carbon dioxide?

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 meas...

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Bibliographic Details
Published inAnaesthesia Vol. 51; no. 5; p. 485
Main Authors Jackson, S A, Laurence, A S, Hill, J C
Format Journal Article
LanguageEnglish
Published England 01.05.1996
Subjects
Carbon Dioxide - adverse effects
Diaphragm - diagnostic imaging
Female
Humans
Laparoscopy - adverse effects
Pain - etiology
Posture
Radiography
Shoulder
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Summary: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.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1996.tb07798.x