Effectiveness of Neuro Muscular Blockade in Conjunction of Low pneumoperitoneum in Resolving Postoperative Shoulder Pain in Laparoscopic Hysterectomy

Abstract

Ekramy A Mohamed, Mohamed Sayed Fahim

Background: Laparoscopic hysterectomy procedures are evolving and upgraded leading to more enhanced patient care levels. Post-operative shoulder pain after laparoscopic pneumoperitoneum is a common concern among laparoscopic surgeons and an annoying symptom causing discomfort of cases.

Aim: The research study investigates the difference between lowpressure level pneumoperitoneum 8mmHg in conjunction deep neuromuscular blockade in comparison to classic level pneumoperitoneum pressure 12mmHg in conjunction to moderate neuromuscular blockade if it could decrease the frequency of shoulder pain after performance of laparoscopic hysterectomy.

Methodology: A prospective research study that recruited 32 study subjects were randomized to either deep neuromuscular blockade and 8mmHg pneumoperitoneum (research Group 8-Deep) or moderate neuromuscular blockade and 12mmHg pneumoperitoneum (research Group 12-Moderate)both research groups were equal in number and were observed postoperatively for pain using VAS scoring system.

Conclusions and recommendations: The current research study reveal and displays that the conjunction of deep neuromuscular blockade and low pressure level pneumoperitoneum decreased the frequency and severity of shoulder pain after performance of laparoscopic hysterectomy in comparison to moderate level neuromuscular blockade and classic level –pressure pneumoperitoneum.

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