Laparoscopic surgery is known as keyhole surgery or
minimally invasive surgery. It allows operations in the abdomen performed
through small incisions. Although laparoscopic surgery has many advantages such
as shorter recovery time and less scarring, up to 80% of patients after
laparoscopic surgery developed shoulder pain, ranging from mild to severe, and
lasted up to 72 hours. The cause of shoulder pain is believed due to the use of
carbon dioxide which irritates the diaphragm during and after surgery. The purpose
of using carbon dioxide is to inflate the abdomen for better surgical view.
The conventional treatments of postlaparoscopic shoulder
pain include the ways to remove carbon dioxide from abdomen after surgery and
analgesic medication. However these treatments are often unsatisfactory and
have many side effects.
Researchers in Israel conducted a clinical study to
investigate whether individualized acupuncture relieve postlaparoscopic
shoulder pain. Patients with postlaparoscopic shoulder pain were diagnosed based
on a thorough physical examination including traditional tongue, pulse, facial
and voice diagnosis according to classic traditional Chinese medicine theory;
and were treated with customized acupuncture. Pain assessment was conducted
prior to and two hours after acupuncture using Visual Analogue Scale 0 to 10. Results
showed that shoulder pain and general pain after laparoscopic surgery were
significantly reduced after acupuncture compared to base line assessment. No adverse
effect was observed.
Authors concludes that individualized acupuncture relieve
shoulder pain and general pain after laparoscopic surgery.
Reference:
Kreindler G et al., Treating postlaparoscopic
surgery shoulder pain with acupuncture. Evid
Based Complement Alternat Med. 2014;2014:120486. http://www.ncbi.nlm.nih.gov/pubmed/?term=Kreindler+g%2C+acupuncture
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