Health Condition 1: K801- Calculus of gallbladder with othercholecystitis Health Condition 2: K802- Calculus of gallbladder without cholecystitis Health Condition 3: K802- Calculus of gallbladder without cholecystitis Health Condition 4: K802- Calculus of gallbladder without cholecystitis
Conditions
Interventions
Intervention1: Low Pressure Pneumoperitoneum/ Group A: They will be scheduled to undergo laparoscopic
cholecystectomy at a low-pressure Laparoscopic cholecystectomy (LPLC), that is defined as a gas in
Sponsors
AIIMS Gorakhpur
Eligibility
Inclusion criteria
Inclusion criteria: 1. Any age ranges from 18 to 60 years old. 2. Both sex included with Low Anesthetic Risk Score of 1 or 2 according to the American Society of Anesthesiologists (ASA). 3. Mild to moderate cholecystitis and simple symptomatic gallbladder stone disease, as confirmed by USG.
Exclusion criteria
Exclusion criteria: 1. Gall bladder malignancy. 2. Acute cholecystitis. 3. Choledocholithiasis. 4. H/O ERCP with and without a stent in place. 5. Other causes of shoulder pain such subacromial bursitis, rheumatoid arthritis, tendinitis, and other musculoskeletal conditions; coronary artery diseases; COPD; asthma; history of cancer; jaundice; or any other co-morbidity. 6. Who had previous upper abdomen surgery. 7. BMIs below 18.5 or above 29.9. 8. ASA grades III, IV, or ,V. 9. Cognitive impairment, long-term painkiller use, or a history of alcohol addiction. 10. People who have been found with acute cholecystitis by ultrasonography or who have had it in the past.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To determine if there is a significant difference in pain levels, as measured by the Visual Analogue Score (VAS), at four pre determined time points: 6hours, 12 hours, 24 hours, and 7 days post-operation among patients undergoing laparoscopic cholecystectomy with low- pressure pneumoperitoneum compared to standard pressure. 2.To evaluate significant changes in inflammatory markers from baseline values in the same patient population.Timepoint: 6hours, 12 hours, 24 hours, and 7 days Post-Laparoscopic Cholecystectomy | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess and compare theneed for additional pain medicationpost-operationbetween the low-pressure and standard-pressure pneumoperitoneum groups. To record and compare the length of time the surgery takes under low-pressure versus standard-pressure pneumoperitoneum. To evaluate and compare the level of difficulty experienced by the surgeon during the procedure in both groups To note and compare the necessity of placing adrain during or after the surgery in both patient groups. To monitor and compare the length ofthe hospital stay post-surgery between thetwo groups.Timepoint: intra op ,6hr,12hr,24hr and 7 days | — |
Countries
India
Contacts
Public ContactSWATI PRASAD
ALL INDIA INSTITUTE OF MEDICAL SCIENCES GORAKHPUR
Outcome results
None listed