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The Effect of Co2 Insufflation Rate on the Postlaparoscopic Shoulder Pain

dc.authorid Ozmen, Mehmet Mahir/0000-0003-0649-0111
dc.authorid Dilek, Osman Nuri/0000-0002-6313-3818
dc.authorscopusid 57200770106
dc.authorscopusid 6701699128
dc.authorscopusid 7006979289
dc.authorscopusid 8905801500
dc.authorscopusid 58708786400
dc.authorwosid Ozmen, Mehmet/Aao-2321-2020
dc.authorwosid Dilek, Osman Nuri/D-7711-2018
dc.contributor.author Berberoglu, M
dc.contributor.author Dilek, ON
dc.contributor.author Ercan, F
dc.contributor.author Kati, I
dc.contributor.author Ozmen, M
dc.date.accessioned 2025-05-10T17:13:17Z
dc.date.available 2025-05-10T17:13:17Z
dc.date.issued 1998
dc.department T.C. Van Yüzüncü Yıl Üniversitesi en_US
dc.department-temp ITEM, Adv Med Technol Ctr, Ankara, Turkey; Yuzuncu Yil Univ, Sch Med, Dept Surg, Van, Turkey; Yuzuncu Yil Univ, Sch Med, Dept Anesthesiol, Van, Turkey; Bayindir Med Ctr, Ankara, Turkey; Numune Hosp, Surg Unit 1, Ankara, Turkey en_US
dc.description Ozmen, Mehmet Mahir/0000-0003-0649-0111; Dilek, Osman Nuri/0000-0002-6313-3818 en_US
dc.description.abstract Shoulder pain (SP) is frequently mentioned in recent literature following laparoscopic operations. In the literature, many causes have been declared to explain shoulder pain after CO2 insufflation, such as direct peritoneal irritation of the CO2 gas, excessive traction of the triangular ligament, and overstretching of the diaphragmatic muscle fibers due to the high rate of insufflation, This study was planned as multicentric, and 76 patients, aged between 35 to 45, were entered into the study. They were all selected by a randomized sampling method, with equal numbers of men and women, to achieve true evaluation. The low flowrate (LFR) group was insufflated with 2.5 L/min and the high flow-rate (HFR) group with 7.5 L/min. All cases were evaluated by subjective pain classification on postoperative day 3. According to the subjective pain scale method, shoulder pain average was 23.9 +/- 3.1 in the LFR group and 55.4 +/- 6.5 in the HFR group. The difference between these groups was significant (p > 0.01), There is no significant difference for the operation time (LFR%: 64 +/- 15 minutes, HFR: 61 +/- 20 minutes, p > 0.05), Our results suggest that there is a significant statistical relation between the postoperative shoulder pain levels and increased insufflation rates. For this reason, low insufflation rate significantly reduces the shoulder pain but does not increase the operation time. Therefore, a low insufflation rate should be applied in all cases for patients' comfort and safety. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.doi 10.1089/lap.1998.8.273
dc.identifier.endpage 277 en_US
dc.identifier.issn 1092-6429
dc.identifier.issue 5 en_US
dc.identifier.pmid 9820719
dc.identifier.scopus 2-s2.0-0031593559
dc.identifier.scopusquality Q2
dc.identifier.startpage 273 en_US
dc.identifier.uri https://doi.org/10.1089/lap.1998.8.273
dc.identifier.uri https://hdl.handle.net/20.500.14720/8136
dc.identifier.volume 8 en_US
dc.identifier.wos WOS:000076663300004
dc.identifier.wosquality N/A
dc.language.iso en en_US
dc.publisher Mary Ann Liebert inc Publ en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.title The Effect of Co2 Insufflation Rate on the Postlaparoscopic Shoulder Pain en_US
dc.type Article en_US

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