Health  Vol.7 No.3 , March 2015
Assessment of Post-Laparoscopic Cholecystectomy Pain at Viet Duc Hospital, Vietnam
ABSTRACT
Gallstones are common and costly in the world. This disease also have high health burden with high mortality. Currently, Laparoscopic Cholecystectomy has become a gold standard for surgical treatment of symptomatic gallstones. Pain is usually the first concern after surgery. Postoperative pain decreases with time but it is severe enough to interfere with daily activities of patients. Pain after the surgery is also affected by many factors. This cross-sectional study aimed to 1) assess pain intensity and interference pain with daily activities; 2) describe the association between pain intensity and interference with daily activities of patients; 3) explore factors that influence post-operative pain after Laparoscopic Cholecystectomy. Data were collected by 50 patients who were undergoing Laparoscopic Cholecystectomy completed questionnaire including the Visual Analogue Scale (VAS) and the Brief Pain Inventory (BPI). Data were analyzed based on three aims. As this is the first time that this type of study is conducted in Vietnam, it is expected that the results will contribute significantly to local knowledge and should add to global perspectives. From understanding the factors that affect severity of pain, this study is expected to design nursing intervention strategies to improve daily activities among patients undergoing LC.

Cite this paper
Nguyen, D. and Nguyen, H. (2015) Assessment of Post-Laparoscopic Cholecystectomy Pain at Viet Duc Hospital, Vietnam. Health, 7, 346-354. doi: 10.4236/health.2015.73039.
References
[1]   Shaffer, E.A. (2006) Epidemiology of Gallbladder Stone Disease. Best Practice & Research Clinical Gastroenterology, 20, 981-996.
http://dx.doi.org/10.1016/j.bpg.2006.05.004

[2]   Tazuma, S. (2006) Gallstone Disease: Epidemiology, Pathogenesis, and Classification of Biliary Stones (Common Bile Duct and Intrahepatic). Best Practice & Research Clinical Gastroenterology, 20, 1075-1083.
http://dx.doi.org/10.1016/j.bpg.2006.05.009

[3]   Pitchumoni, C.S. (2010) Increasing Prevalence of Gallstones; Diagnostic and Therapeutic Options. Medicine Update, 20, 486-490.

[4]   Stinton, L.M. and Shaffer, E.A. (2012) Epidemiology of Gallbladder Disease: Cholelithiasis and Cancer. Gut and Liver, 6, 172-187.

[5]   Thu, H.T.D. (2014) Quality of Life in Patients after Laparoscopic Cholecystectomy for Gallstone Disease. Ho Chi Minh Medicine and Pharmacy University: Hepatobiliary Surgery.

[6]   Barut, I., et al. (2005) Experience of Ambulatory Laparoscopic Cholecystectomy in Turkish Patients. European Journal of General Medicine, 2, 96-99.

[7]   Tsimoyiannis, E.C., et al. (1998) Intraperitoneal Normal Saline Infusion for Postoperative Pain after Laparoscopic Cholecystectomy. World Journal of Surgery, 22, 824-828.
http://dx.doi.org/10.1007/s002689900477

[8]   Wills, V.L. and Hunt, D.R. (2000) Pain after Laparoscopic Cholecystectomy. British Journal of Surgery, 87, 273-284.
http://dx.doi.org/10.1046/j.1365-2168.2000.01374.x

[9]   Hepatobiliary Surgery Department (2014) In-Out Patient Management Records. Viet Duc Hospital.

[10]   Emergency Gastrointestinal Surgery Department (2014) In-Out Patient Management Records. Viet Duc Hospital.

[11]   Joris, J., Thiry, E., Paris, P., Weerts, J. and Lamy, M. (1995) Pain after Laparoscopic Cholecystectomy: Characteristics and Effect of Intraperitoneal Bupivacaine. Anesthesia & Analgesia, 81, 379-384.

[12]   Beauregard, L., Pomp, A. and Choinière, M. (2004) Severity and Impact of Pain after Day-Surgery. Canadian Journal of Anaesthesia, 45, 304-311.
http://dx.doi.org/10.1007/BF03012019

[13]   Ochroch, E.A., Gottschalk, A., Troxel, A.B. and Farrar, J.T. (2006) Women Suffer More Short and Long-Term Pain than Men after Major Thoracotomy. Clinical Journal of Pain, 22, 491-498.
http://dx.doi.org/10.1097/01.ajp.0000208246.18251.f2

[14]   Jensen, M.P., Hoffman, A.J. and Cardenas, D.D. (2005) Chronic Pain in Individuals with Spinal Cord Injury: A Survey and Longitudinal Study. Spinal Cord, 43, 704-712.
http://dx.doi.org/10.1038/sj.sc.3101777

[15]   Girard, F., Chouinard, P., Boudreault, D., Poirier, C., Richard, C., Ruel, M. and Ferraro, P. (2006) Prevalence and Impact of Pain on the Quality of Life of Lung Transplant Recipients: A Prospective Observational Study. Chest, 130, 1535-1540.
http://dx.doi.org/10.1378/chest.130.5.1535

[16]   Vu, V.V., Hanh, V.T.X., Giang, P.T.T. and Hoang, T.T.H. (2010) Studying the Situation of Pain and Quality of Life in Advanced Cancer Patients at HCMC Oncology Hospital. The Medicine Journal of Ho Chi Minh City, 14, 811-822.

[17]   Robinson, T.N., Biffl, W.L., Moore, E.E., Heimbach, J.K., Calkins, C.M. and Burch, J.M. (2002) Predicting Failure of Outpatient Laparoscopic Cholecystectomy. American Journal of Surgery, 184, 515-518.
http://dx.doi.org/10.1016/S0002-9610(02)01080-2

[18]   Bisgaard, T., Klarskov, B., Rosenberg, J. and Kehlet, H. (2001) Factors Determining Convalescence after Uncomplicated Laparoscopic Cholecystectomy. JAMA Surgery, 136, 917-921.
http://dx.doi.org/10.1001/archsurg.136.8.917

[19]   Al-Omari, Q.D., Al-Omari, W.M. and Omar, R. (2009) Factors Associated with Postoperative Sensitivity of Amalgam Restorations. Journal of the Irish Dental Association, 55, 87-91.

[20]   Aubrun, F., Valade, N., Coriat, P. and Riou, B. (2008) Predictive Factors of Severe Postoperative Pain in the Postanesthesia Care Unit. Anesthesia & Analgesia, 106, 1535-1541.
http://dx.doi.org/10.1213/ane.0b013e318168b2ce

[21]   de Silva, L.M., Kakuda, C.M., de Campos Vieira Abib, A., Fugiwara, F.Y., Lima e Lara, G.F., Mazzotta, R.C., et al. (2013) Factors Associated to Postoperative Pain in the Post-Anesthetic Care Unit in Patients Submitted to Laparoscopic Gastroplasty. Revista Dor, Sao Paulo, 14, 239-244.

[22]   Bisgaard, T., Klarskov, B., Rosenberg, J. and Kehlet, H. (2001) Characteristics and Prediction of Early Pain after Laparoscopic Cholecystectomy. Pain, 90, 261-269.
http://dx.doi.org/10.1016/S0304-3959(00)00406-1

[23]   Gupta, A., Thorn, S.E., Axelsson, K., Larsson, L.G., Agren, G., Holmstrom, B. and Rawal, N. (2002) Postoperative Pain Relief Using Intermittent Injections of 0.5% Ropivacaine through a Catheter after Laparoscopic Cholecystectomy. Anesthesia & Analgesia, 95, 450-456.

[24]   Charles, S. and Cleeland, P. (2009) The Brief Pain Inventory User Guide. The University of Texas MD Anderson Cancer Center.
http://www.mdanderson.org/

[25]   Vezakis, A., Davides, D., Gibson, J.S., Moore, M.R., Shah, H., Larvin, M. and McMahon, M.J. (1999) Randomized Comparison between Low Pressure Laparoscopic Cholecystectomy and Gasless Laparoscopic Cholecystectomy. Surgical Endoscopy, 13, 890-893.
http://dx.doi.org/10.1007/s004649901127

[26]   Dabbagh, A.A. (2009) Pain after Laparoscopic Cholecystectomy. Zanco Journal of Medical Sciences, 13, 37-42.

[27]   Ure, B.M., Troidl, H., Spangenberger, W., Dietrich, A., Lefering, R. and Neugebauer, E. (1994) Pain after Laparoscopic Cholecystectomy. Surgical Endoscopy, 8, 90-96.
http://dx.doi.org/10.1007/BF00316616

[28]   Bakr, S.A., Ali, S.K. and Khudhr, S.A. (2010) Impact of Preoperative Anxiety Intervention on Postoperative Pain. Zanco Journal of Medical Sciences, 14, 72-77.

 
 
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