DOI: 10.36347/sjams.2018.v06i04.059

Pages: 1668-1671

As laparoscopic procedures are done by a small incision made at a site away from the operative field, space is very limited in laparoscopic surgeries. Hence, for adequate exposure and to facilitate the space for proper handling of the instruments required for performing laparoscopic surgery abdominal wall has to be lifted up. This can be achieved by either mechanical abdominal wall elevators or by creating pneumoperitoneum. And this pneumoperitoneum is created by insufflating carbon dioxide in the abdominal cavity using a pressure regulating automatic insufflators. However, this raised intra-abdominal pressure is related with some negative effects on circulatory & respiratory systems, as well as on the kidneys, but many advantages are well established of procedures done laparoscopically. The study presented here shows the effect of raised intra-abdominal pressure on shoulder tip pain particularly in laparoscopic cholecystectomy.