Patients' experiences of Abdominal Install of Isotonic Saline following Laparoscopic Cholecysterctomy, a Randomized Prospective Double-Blind Controlled Study.
It is important to develop new treatments to reduce postoperative pain following laparoscopic cholecystectomy,LC. Postoperative pain in the abdomen and shoulder pain, "referred pain" is a common problem. Install of isotonic saline in the abdomen at the end of LC surgery might minimize postoperative pain. However, there is no clear evidence if this regimen may effectively control postoperative pain following LC. The aim of this study is to investigate if 500 ml isotonic saline installed in the abdomen at the end of operation may reduce postoperative pain in the abdomen and shoulder pain "referred pain" following LC. The study is conducted at the Karolinska University Hospital, Huddinge, in Sweden and started in December 2010. One hundred patients will be randomized to have 500 ml isoton saline installed or not. Data are collected by means of questionnaires concerning postoperative pain, postoperative recovery and health related quality of life (SF36) preoperatively, the first postoperative day, after one week and one month following LC. If this pain regimen is shown to reduce postoperative pain, is it an easy and practical method with clear advantages for the patients. Moreover, patients treated in day surgery might depart earlier from the hospital.