WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Karam Dawood Saleem, Dr. Luqman Mohammed Azeez, Dr. Kawa Mohammed Mawlood Bajalan

ABSTRACT

Background: Laparoscopic cholecystectomy is a minimally invasive surgical procedure used to remove a diseased gallbladder. One of the complications of pneumoperitoneum is shoulder pain, which is mild to moderate pain experienced post-laparoscopic surgery. Aim of the study: To evaluate the reduction of shoulder pain in patients who underwent active carbon dioxide suction in comparison to passive carbon dioxide deflation post laparoscopic cholecystectomy. Patients and Methods: A prospective randomized comparative study was done on 141 patients from January 2024 to January 2025 in Rizgary Teaching Hospital in Erbil. Patients were divided into two groups, one with active suction of CO2 and the other with passive deflation of CO2 then compared for shoulder tip pain in both groups. Results: A Total of 141 patients were divided into two groups: Group I (68), Group II (73). The mean age of patients in Group I was higher than in Group II. The percentage of females was higher than that of males in both groups. The study compared shoulder pain during 24 hours, with 55.9% reporting pain in group I and 74.0% in group II, with significant statistical differences (p=0.024). During 48 hours, 35.2% patients in group I felt discomfort, and 61.7% in group II, the difference was statistically significant (p=0.002). The study showed no significant difference in shoulder discomfort on the 7th day for both groups. Conclusions: Using the active suction technique to release the remaining CO2 from the intra-abdominal cavity following laparoscopic cholecystectomy, helps to decrease shoulder pain and postoperative abdominal discomfort.