Role of Pulmonary Recruitment Maneuver at The End of Laparoscopic Cholecystectomy in Reducing Shoulder Tip Pain

Background: Cholecystectomy is the only definitive treatment for symptomatic gallstones. Laproscopic surgery is usually preferred in this case. One of the main postoperative events in this case is Shoulder tip pain. Objective: The main objective of our study is to evaluate the efficacy of pulmonary recruitment maneuver to reduce shoulder tip pain. Methodology: This study was carried out at Quaid e Azam International Hospital over a period of 9 months (Dec 2014 - Aug 2015). All patients undergoing laparoscopic cholecystectomy were included in the study after proper consent. Patients were divided randomly into two groups. Group A received pulmonary recruitment maneuver and Group B didn’t. Results were compared regarding shoulder tip pain in both groups. Results: Pulmonary recruitment maneuver seems to be easily performed a potentially preventive measure of post-laparoscopic shoulder tip pain in these patients. Conclusion: This simple yet effective maneuver to prevent post laparoscopic shoulder tip pain should be promoted to reduce morbidity further reducing hospital stay and treatment cost.