A Study of Pain after Laparoscopic Gastric Banding |
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Authors: | H Nehoda MD M Lanthaler MD R Mittermair MD K Hourmont MD B Labeck MD H Weiss MD F Aigner MD |
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Institution: | (1) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria;(2) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria;(3) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria;(4) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria;(5) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria;(6) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria;(7) Department of General Surgery, University Hospital of Innsbruck, Innsbruck, Austria |
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Abstract: | Background: The introduction of the laparoscopic approach to bariatric surgery has brought similar advantages as those seen
in general surgery.There have been no trials assessing postoperative pain after laparoscopic adjustable silicone gastric banding
(LASGB). We compared prospectively postoperative pain and outcome in LASGB and laparoscopic cholecystectomy (LC), to determine
if morbidly obese patients can expect the same benefits from a laparoscopic approach in gastric banding as those which are
known for LC in non-obese and obese patients. Methods: In a prospectively collected database of 80 patients undergoing LASGB,
information including a survey assessing the postoperative pain, the amount of analgetic drugs used, operative reports, laboratory
data, and follow-up data was collected. This was compared to an equal number of patients undergoing LC. Postoperatively,all
patients received standardized pain medication of 150 mg tramadol per day. Pain was assessed twice on postoperative days 1-3
using a patient questionnaire. Results: Patient characteristics and duration of hospital stay were similar in the two groups.
Although there was no significant difference in type and intensity of pain experienced by the patients in either group, the
gastric banding patients reported less postoperative pain overall than those in the LC group. Conclusion: The analyzed data
show that LASGB offers the same advantages as other laparoscopic operations, in that it induces less pain and enables the
patient to return quickly to normal activity and work. The advantage over the compared LC group may be due to higher patient
motivation, but was not statistically significant. |
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Keywords: | MORBID OBESITY LAPAROSCOPIC GASTRIC BANDING LAPAROSCOPIC CHOLECYSTECTOMY POSTOPERATIVE PAIN ASSESSMENT |
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