Impact of incentive spirometer on tip shoulder and right hypochondrial pain post laparoscopic cholecystectomy

Abstract

Background: Laparoscopic cholecystectomy (LC) continues to be more evolving. Pain remains the main annoying symptom postoperative. Objectives: This study aimed to proof if using incentive spirometry (IS) after LC will alleviate tip shoulder and right hypochondrial pain. Patients and Methods: On 90 patients undergoing LC at Kasr Al ainy hospitals and National Hepatology and Tropical Medicine Research Institute (NHTMRI) who were identified as having chronic calcular cholecystitis clinically and radiographically by ultrasonography, a prospective randomized controlled research was conducted. Two groups are formed. Group I (n = 45) receiving IS (consisting of 20 slow, deep breaths with a spirometry while sitting or semi sitting every 2 hours beginning at 2 hours postoperative) . There will be no respiratory over activity in Group II (n = 45). The "Visual Analogue Scale" (VAS) score used to further analyses shoulder and right hypochondrial pain. Results: Group I average pain score was significantly lower than Group II average pain score at 2 hours, 4 hours, and 6 hours (p-value 0.001), as well as at 8 hours (p-value =0.007). However, there were no significant differences between the study group and the control group on the second postoperative day (p-value = 0.900). In comparison to the control group, the study group receives a significantly lower dose of an analgesic (p-value 0.001). Conclusion: IS can be used routinely post LC at first day postoperative alleviating shoulder and right hypochondrial pain also decreasing analgesics requirement postoperative.

Keywords

• incentive spirometry tip shoulder right hypochondrial pain laparoscopic cholecystectomy pain management