Muhammad Shah, Yousaf Jan, Shaukat Hussain, Waqas.
Comparison of Efficacy of Low Pressure Vs Standard Pressure Pneumoperitoneum During Laparoscopic Cholecystectomy.
Ophthalmol Update Jan ;12(3):209-13.

Introduction: Symptomatic gall stones disease is a common health problem not only in developed nations rather its incidence is increasing in developing countries probably because of changing dietary habits. Laparoscopic cholecystectomy is considered as gold standard in its management. Objective: To compare the efficacy of low pressure (7-10mm Hg) versus standard pressure (12-14mm Hg) pneumoperitoneum during laparoscopic cholecystectomy. Materials and Methods: This randomized controlled trial was carried out in surgical unit Hayatabad Medical Complex, Peshawar from January 2011 to Jan 2013. Total of 106 patients in each group of symptomatic gallstones disease fulfilling the inclusion criteria were subjected to laparoscopic cholecystectomy and were followed throughout the procedure to see for any pain. Results: A total of 212 patients underwent LC during the study period. The mean age was 41.59 years±11.38SD with range of 19-70 years. Low pressure group showed 95(89.6%) efficacy, whereas standard pressure group showed 82(77.4%) efficacy. Efficacy in both the group was significant with p-value of 0.016. Conclusion: Low pressure pneumoperitoneum is more effective than standard pressure pneumoperitoneum in terms of postoperative pain relief.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com