Comparative Study of Low Pressure versus Standard Pressure Carbon Dioxide Pneumoperitoneum in Reducing Shoulder Tip Pain Post Laparoscopic Cholecystectomy

Introduction: Laparoscopic cholecystectomy is the gold standard treatment for cholelithiasis. Postoperative shoulder tip pain common complaint. Evidences suggest that using low pressure pneumoperitoneum (8-10 mmHg) during procedure rather than (12-14 decreases incidence and severity of without compromising working space.
 Aims: The aim this study was to evaluate impact on post laparoscopic cholecystectomy.
 Methods: A prospective hospital based conducted at Nepalgunj Medical College, Kohalpur from January 2019 December 2020. Hundred patients were enrolled, fifty each in “low carbondioxide pneumoperitoneum” “standard groups, who underwent cholecystectomy. two groups compared terms pain, surgeon’s satisfaction score, top-up analgesia requirement, procedural time, conversion pressure, intraoperative complications length stay.
 Results: There 45 (90%) females five (10%) males group 44 (88%) six (12%) group. Fourteen (28%) 32 (64%) had (p=0.001). less significant eight hours (p=0.006) 12 (p=0.008). Top-up required more no but only one pressure. Surgeon’s open time comparable both with shorter stay group.
 Conclusion: Low safe effective strategy reducing after