İstanbul Medical Journal (May 2023)

Does Pain Following Laparoscopic Cholecystectomy Differ in Diabetics?

  • Sevim Baltalı,
  • Bünyamin Gürbulak,
  • Seda Seven,
  • Hasan Ökmen

DOI
https://doi.org/10.4274/imj.galenos.2023.64927
Journal volume & issue
Vol. 24, no. 2
pp. 139 – 143

Abstract

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Introduction:Individuals with diabetes differently respond to painful stimuli in the postoperative period than non-diabetic patients. This variation causes a scorching, tingling, numbness, or even hyperalgesic sensation due to a change in sensory perception. During routines sometimes we donot remember how patients’ pain differ in some situations. Diabetes mellitus is an important disease that we must remember when we plan our postoperative pain relief plan. This study aimed to assess the pain levels and analgesic requirements of individuals with diabetes following laparoscopic cholecystectomy (LC).Methods:Patients with symptomatic gallstones and cholecystitis underwent elective LC between April 2019 and April 2020. Patients’ records were prospectively registered and retrospectively received from the patients’ record system on the postoperative course. A total of 70 cases were evaluated within the scope of the study, 35 (50%) of whom were diagnosed with diabetes and 35 (50%) were control subjects.Results:When the results were examined, it was determined that there was a difference between the two groups that were statistically significant at the 5th and 10th minutes of the bispectral index (p<0.05). When the two groups were compared, patients in the control group had more pain on the postoperative course and mean score of 8 (p=0.049), 7 (p=0.016), 5 (p=0.02), 4 (p=0.032), 2 (p=0.014) respectively 1, 2, 4, 8, 12, 24 hours on the numeric rating scale, p<0.001). In the multivariable analysis, the group with diabetes was shown to be strongly related with a significantly lower dosage of tramadol consumption compared to the control group.Conclusion:According to our findings, the patient with diabetes who underwent LC experienced less postoperative discomfort than those without diabetes. In contrast to the previous studies, our findings show that patients with diabetes have less post-operative pain and require fewer analgesics.

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