WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Raad Abdalhadi Ayoob, Dr. Khalid Mohammed Elias and Dr. Mouzer Taha Hamid

ABSTRACT

Background: Laparoscopic cholecystectomy is a popular treatment for symptomatic cholecystitis, but postprocedureabdominal and shoulder pain can persist, affecting patient comfort and recovery. Aim of the study: Toevaluate the effect of surgical drain in reducing shoulder pain after lab cholecystectomy among the patients inNineveh governorate. Patients and Methods: A randomized controlled trial involving 157 patients aged 20-60 atAl-Salam Teaching Hospital assessed postoperative shoulder tip pain using a numeric verbal rating scale. Patientswere divided into two groups, with drain surgery and without drain surgery. Postoperative shoulder tip pain wasmeasured at 6, 12, 24, and 48 hours. Patients were interviewed postoperatively and pain severity was assessedusing a numeric verbal rating scale (VRS). Results: The study found that 26.0% of patients with drains had PLSP,while 56.0% without a drain. Grades of PLSP were different between groups A and B. Age was lower in drainpatients, but not significant. Gender distribution was similar between groups. Post-operative complicationsshowed no significant differences between groups. However, patients in group A had higher proportions ofinfection and hospital stay compared to those in group B. No significant differences were found in post-operativecomplications. Conclusion: The performing of lap cholecystectomy with drain was obviously decreased the postlaparoscopicshoulder pain irrespective to age and gender.

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