Impact of incentive spirometer on tip shoulder and right hypochondrial pain post laparoscopic cholecystectomy
Bakr, A., Ayad, A., Abdelraouf, A., Abosayed, A. (2023). Impact of incentive spirometer on tip shoulder and right hypochondrial pain post laparoscopic cholecystectomy. EKB Journal Management System, 6(2), 266-278. doi: 10.21608/svuijm.2023.207046.1573
Ayat Ahmad Mohamed Bakr; Amr Mohamed AbdelFattah Ayad; Amr Abdelraouf; Amir K. Abosayed. "Impact of incentive spirometer on tip shoulder and right hypochondrial pain post laparoscopic cholecystectomy". EKB Journal Management System, 6, 2, 2023, 266-278. doi: 10.21608/svuijm.2023.207046.1573
Bakr, A., Ayad, A., Abdelraouf, A., Abosayed, A. (2023). 'Impact of incentive spirometer on tip shoulder and right hypochondrial pain post laparoscopic cholecystectomy', EKB Journal Management System, 6(2), pp. 266-278. doi: 10.21608/svuijm.2023.207046.1573
Bakr, A., Ayad, A., Abdelraouf, A., Abosayed, A. Impact of incentive spirometer on tip shoulder and right hypochondrial pain post laparoscopic cholecystectomy. EKB Journal Management System, 2023; 6(2): 266-278. doi: 10.21608/svuijm.2023.207046.1573

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

SVU-International Journal of Medical Sciences
Article 25, Volume 6, Issue 2, July 2023, Page 266-278  XML PDF (357.68 K)
Document Type: Original research articles
DOI: 10.21608/svuijm.2023.207046.1573
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Authors
Ayat Ahmad Mohamed Bakr1; Amr Mohamed AbdelFattah Ayad2; Amr Abdelraouf1; Amir K. Abosayed email orcid 2
1Department of Surgery, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
2Department of Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt
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
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