The aim of this study is to compare outcome of active aspiration versus simple compression to remove residual gas from abdominal cavity in reducing pain after laparoscopic cholecystectomy.
Patients of both genders.
Patients of age ≥ 18 years.
All patients presenting for elective laparoscopic cholecystectomy.
Patients suffering from obstructive jaundice anamnesis.
Patients who had received a diagnosis of gallbladder cancer.
Patients whose procedures were converted to open cholecystectomy during the surgery.
Patients who had additional pathologies such as bronchial asthma, chronic obstructive pulmonary disease.
Parallel
Group A (Active Aspiration)
Procedure/SurgeryOnce the trocars will be opened, aspiration cannula will be then placed through the accessory port reach at the subdiaphragmatic under direct visualization. After cessation of CO2 insufflation, residual gas will be removed by suctioning with 100 mmHg of pressure until the infra-diaphragmatic area of the abdominal wall close to liver surface. Negative pressure will be then ceased and the aspiration cannula will be taken out under direct vision. The procedure will be completed using the same method as the simple compression group.
simple compression
BehavioralActive Gas Aspiration: Once the trocars will be opened, aspiration cannula will be then placed through the accessory port reach at the subdiaphragmatic under direct visualization. After cessation of CO2 insufflation, residual gas will be removed by suctioning with 100 mmHg of pressure until the infra-diaphragmatic area of the abdominal wall close to liver surface. Negative pressure will be then ceased and the aspiration cannula will be taken out under direct vision. The procedure will be completed using the same method as the simple compression group.
Numerical Pain Intensity Scale (NPIS)
The Numerical Pain Intensity Scale (NPIS) is a simple, self-reported tool commonly used in clinical settings to assess the intensity of a person's pain. It typically ranges from 0 to 10, with 0 indicating "no pain" and 10 representing "the worst pain imaginable." Patients are asked to rate their pain based on their current experience, providing healthcare professionals with a clear indication of the pain's severity. This scale is useful for tracking pain changes over time, evaluating the effectiveness of treatments, and facilitating communication between patients and providers about pain management. The NPIS is valued for its ease of use and ability to provide quick, quantifiable insights into a patient's pain level.
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