Pneumoperitoneum Low Volume as Control of Post Surgical Pain

Introduction: At present, laparoscopic cholecystectomy is considered the procedure of choice in the management of symptomatic cholelithiasis. It has been proposed that pneumoperitoneum in laparoscopic surgery increases post-surgical pain and produces adverse physiological effects in some patients. Objective: Control postoperative pain in surgery by reducing pneumoperitoneum pressure. Material and Methods: Study 3 Hospitals, both public and private, comparing the conventional technique using the original intra-abdominal pressure versus lowering the pneumoperitoneum pressure to 10 mmHg, to reduce pain. Conclusion: Reducing the CO2 pressure in mmHg up to 10.9 on average of the transoperative pneumoperitoneum, was shown as a safe, uncomplicated pressure and reduced postoperative pain without the need to scale up a greater number of analgesics.