Sequelae of laparoscopic surgery inflation

Laparoscopic surgery is mainly used to treat infertility, but this surgery is performed by inserting a scope into the abdomen, so improper operation may have negative effects on the body. The most common sequelae are abnormal pain in the wound, stabbing pain in the abdomen, and extreme pain in other parts of the body. It is important to take any sequelae seriously and seek help from a doctor to effectively resolve the sequelae.

1. Wound pain: Since the wound is only 2 or 3 wounds less than one centimeter, the pain is generally quite mild, and the use of general painkillers is very effective for this type of pain.

2. Abdominal pain: Usually it is widespread lower abdominal pain. This is because the peritoneum is pulled during the operation and forms tension stimulation after inflation. In addition, the carbon dioxide injected into the abdominal cavity easily reacts with water to form carbonic acid, which aggravates the irritation of the peritoneum, so there will be widespread abdominal pain. In this case, you can use a light dose of painkillers to get relief.

3. Shoulder and back neck pain: This is because the residual carbon dioxide gas stimulates the diaphragmatic nerve and causes radiating pain. This type of pain can be cured by analgesics and muscle relaxants. However, for severe shoulder pain, the principle of gas climbing to higher places can be used to let the patient adopt a head-down-feet-high posture, raise the hips above the chest, and move the residual carbon dioxide in the abdomen to the lower body. This can effectively alleviate the phenomenon of shoulder and back neck pain.

4. Sore throat: Currently, most laparoscopic anesthesia uses general anesthesia. During general anesthesia, an endotracheal tube will be placed in the trachea to control the patient's breathing and give gaseous anesthetics. Therefore, the patient will feel a foreign body in the throat after the operation. This is because the throat is compressed by the endotracheal tube for one or two hours, causing edema or congestion. This phenomenon usually occurs after 24 to 36 hours, but gradually disappears after 48 hours, so most cases do not require treatment. If your throat hurts or you have a severe cough, you can use some anti-inflammatory, analgesic or cough suppressant to reduce the discomfort caused by the cough.

5. General muscle pain: This is quite rare and usually occurs about 12 hours after surgery. Because muscle relaxants are necessary during general anesthesia to control the patient's breathing and the depth of anesthesia, these muscle relaxants can sometimes cause muscle incoordination after surgery, leading to improper force and muscle contraction. This condition usually recovers naturally after 48 hours, so no special treatment is required.

6. Nausea and vomiting: During laparoscopic surgery, the patient must maintain a clear crossing in the lower abdomen, so the patient is positioned with the head down and feet high. This allows for a clear surgical field of view, but it increases respiratory pressure, making stomach bloating more likely. This can lead to vomiting and nausea after surgery. Therefore, if the surgeon or anesthesiologist finds that the patient's stomach is "inflated" during surgery, a nasogastric tube should be inserted for drainage. This will reduce the risk of vomiting after surgery. If severe vomiting occurs during the postoperative recovery period, a nasogastric tube will be inserted to drain gastric juice and gas. Of course, if vomiting persists despite this treatment, we must consider whether it is caused by intestinal obstruction, central nervous system disorder or metabolic imbalance, so we must explore the cause in detail.