Argonoperitoneum Effect on Pain Syndrome Intensity in Laparoscopic Cholecystectomy

Keywords: laparoscopic operations, pneumoperitoneum, pain syndrome

Abstract

The objective of the research was to compare the objective and subjective indicators of intra- and postoperative pain and surgical stress intensity.          Materials and Methods. There were examined 360 patients suffering from gallstone disease. There were used the intraoperative monitoring of nociception index by means of Analgesia Nociception Index  - monitor, the determination of serum cortisol concentration, the assessment of pain syndrome in the postoperative period by means of the Numerical Rating Scale in accordance with life quality assessment and the number of injections at the patient’s request. Results. The analysis conducted indicated the reduction in pain irritation, low indices of pain syndrome and postoperative stress intensity under the effect of argonperitoneum. Considerable reduction in the need for analgesics in the study groups served as evidence to this predicted pattern. The assumption that the noticed phenomenon can be explained by the absence of acid irritation of the peritoneum due to argon chemical neutrality being distinct from carbon dioxide was substantiated.          Conclusions. The results proved the effectiveness of argonperitoneum application in laparoscopic surgeries.

Author Biographies

Oleh Tkachuk, Ivano-Frankivsk National Medical University
MD, Doctor of Sci (Med), Professor, Head of Surgery Department of the Faculty of Postgraduate Education
Rostyslav Parakhoniak, Ivano-Frankivsk National Medical University
Department of Surgery of Postgraduate Study Faculty
Svitlana Melnyk, Ivano-Frankivsk National Medical University
MD, PhD (Med), Assistant Professor; Department of Anestesiology and Intensive Therapy
Olesia Tkachuk-Hryhorchuk, Ivano-Frankivsk National Medical University
PhD (Med), Teaching Assistant; Surgery Department of the Faculty of Postgraduate Education

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Published
2019-12-28
Section
Original Research