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TITLE:

ASSOCIATION BETWEEN INTRA-ABDOMINAL PRESSURE DURING GYNAECOLOGICAL LAPAROSCOPY AND POSTOPERATIVE PAIN

AUTHORS:

Dr. Bilal Rehman, Dr. Sayed Muhammad Asim Raza, Dr. Muhammad Ahsan Iqbal

ABSTRACT:

In gynaecology, various technical innovations and surgical methods have introduced that play a very important role in an increasing range of medical indications; one of these methods include laparoscopy. Doctors need to opt for high-quality surgical techniques to assure the provision of maximum patient care. The purpose of this paper to highlight the association between intra-operative CO2 pressure and postoperative pain of gynaecology laparoscopy. A randomized, mono-centric, single-blind study was carried out in the hospital of Multan at the department of Gynaecology and Obstetrics. Patients who were scheduled for different laparoscopic procedures were included in the study. They were divided into six groups and pain was measured by the nurse using a visual analogue scale after surgery. Total of 540 patients was included in the study from a period from June 2016 to January 2019. The analysis showed a relationship between postoperative pain and CO2 levels. The patients with 12 mm Hg showed less pain score in comparison to those having 15 mm Hg pressure. The result of this study showed the advantage of less CO2 pressure levels. However, clinical relevance remained ambiguous because of slight differences in pain scale between different groups of patients.

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