Abstract

To find the effect of intraperitoneal saline wash for reduction of shoulder tip pain following laparoscopic cholecystectomy. Introduction: Laparoscopic surgery is associated with lower morbidity. Recent reports have demonstrated that many patients experience considerable pain after laparoscopic cholecystectomy. Different modalities have been proposed to relieve post operative pain. The current study is to find a simple and effective manoeuvre as intraperitoneal saline wash to decrease postoperative pain. Materials and Methods: The study was conducted on patients undergoing laparoscopic cholecystectomy .Patients were divided into Group A (study group) N = 50, intraperitoneal saline wash was done and in Group B (control group) N = 50, no saline wash was given. Post operative analysis was made by measuring Shoulder tip pain at 6 hours, 12 hours and 24 hours, pain abdomen and at other sites, Analgesic requirement postoperatively. Results: ANOVA was used for analysis. Shoulder tip pain and abdominal pain were significantly reduced in Group A. Analgesic requirement was high in Group B. Conclusion: Instillation of normal saline at the end of laparoscopic cholecystectomy is effective approach in reducing shoulder tip pain and analgesic requirement.

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