COMPARING THE PAIN SCORE IN PATIENTS UNDERGOING SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY (SILC) VERSUS STANDARD LAPAROSCOPIC CHOLECYSTECTOMY (SLC)

Dr. Rakesh Faujdar; Dr. Abhishek Gupta; Dr. Yogendra Basoo Gupta

Volume : IX, Issue : IV, April - 2020

COMPARING THE PAIN SCORE IN PATIENTS UNDERGOING SINGLE INCISION LAPAROSCOPIC CHOLECYSTECTOMY (SILC) VERSUS STANDARD LAPAROSCOPIC CHOLECYSTECTOMY (SLC)

Dr. Rakesh Faujdar, Dr. Abhishek Gupta, Dr. Yogendra Basoo Gupta

Abstract :

Background: SILC can best be described as a procedure in evolution. There is no consensus on surgical technique and exclusion criteria for SILC and conflicting reports regarding the merits and demerits of this procedure are present in literature. Efforts to improve outcomes of laparoscopic cholecystectomy heralded the advent of single incision laparoscopic cholecystectomy. The objective of this study was to compare the post operative pain after cholecystectomy done by Single Incision Laparoscopic Cholecystectomy (SILC) vs Standard Laparoscopic Cholecystectomy. Methods: This comparative randomised study was conducted in Department of Surgery, Maharani Laxmi Bai Medical College, Jhansi over from 01.01.14 to 30.06.15. 100 consecutive patients who fit into the inclusion criteria were included in the study. 50 patients were included in the single incision laparoscopic cholecystectomy (SILC) Group and 50 Standard Laparoscopic cholecystectomy (SLC) Group. Results: The mean operating time was 24.9�9.00 minutes as compared to 19.32� 7.36 minutes in SLC. Mean VAS pain scores at 12 hours (4.58�0.6105 versus 5.16�0.9234, p=0.0004), at 24 hours (3.92�0.5970versus 4.56�0.9304, p=0.0001), at 36 hours (3.28�0.5168 versus 3.8�0.7764, p=0.0002) and next 48 hour (2.69�0.4062 versus 3.14�0.6854, p=0.0003). Significance was calculated by student "t" test. A p value less than .05 was considered significant. Conclusion: Patients presenting to M.L.B Medical College with gall stone diseases belong to significantly younger group and shows significant female preponderance. Mean operative time in SILC group was significantly higher than the SLC group. Mean VAS pain score at 12, 24, 36 and 48 hrs was significantly lower in SILC group as compared to SLC group; which was significant at all time.