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Laparascopic surgery

This type of surgery is fairly new. It is more complicated thanclassical, open field surgery, but for agood reason. Its goal is to cause minimal damage to the tissue in theoperating area and make incisions only where it is absolutely necessary. This property earnedlaparascopic surgery the title "minimally invasive surgery".It requires only minimal sized incisions or incisions, through whichall operating instruments, specially designed for such purposes, areinserted. The surgeon observes the operating field via a miniaturecamera that is also inserted through the incision. Main benefits oflaparascopic surgery over traditional surgery is faster recovery timeand shorter hospital stay (if any at all) as there is much lesstissue to heal and healing of the incision is quicker. Also,miniature incisions are less visible and therefore more "cosmetic."

Shoulder and laparascopic surgery

Laparascopic surgery is commonly used when some injury to theshoulder, such as rotator cuff tear, shoulder tendonitis or aseparated shoulder needs to be treated surgically. Postoperative painin the shoulder after laparoscopic surgery is a common symptom. It isnot long - lasting and will pass after two or three days. The catchis, this pain is not associated with laparascopic surgery performedon the shoulder itself. It is a side effect of other types oflaparascopic surgery. It is caused by excess carbon dioxide in theabdomen, which is putting pressure on the phrenic nerve. This is thepart where you probably lost it, so we will explain this in a minute.

Causes of pain in the shoulder after laparoscopic surgery

As noted, laparascopic surgery uses miniature incisions and theoperating field is viewed through the miniature camera. Now, if youjust plunge the camera in the body, you will not see much if you arenot looking at a cavity, as everything will be slammed right onto thecamera's lens. If you plan to see anything, you will need to makesome space around the camera. This is done in laparascopic proceduresfor gastric bypass and gallbladder surgery. During the gallbladdersurgery, the abdominal cavity is inflated with carbon dioxide to makemore space between the organs and to allow some visibility and moremaneuverability to the instruments. This also causes shoulder pain.The inflated abdominal cavity exerts pressure on the phrenic nerve.This nerve is connected to the heart, lungs and to the abdomen.Irritated abdominal branch of the nerve will trigger what is felt asa sharp pain in the region of the shoulder. Similar happens inlaparascopic gastric bypass procedure. A small amount of carbondioxide which remained trapped in the abdomen will cause nerveirritation and the pain that is felt will begin underneath theabdomen and move up to the shoulder later. Lap band surgery alsocauses shoulder pain. This time, phrenic nerve is irritated becausethe resized stomach leads to some stretching problems in abdomen.


As mentioned, the pain will pass after two or three days. In themeanwhile, you might focus on relieving the pain. Consumption of warmdrinks and lemon tea is recommended, as is drinking of ginger ale,peppermint tea or carrot juice. Anti-gas pills or pain killers areused if the pain is too strong. Shoulder exercises also help toreduce the pain.

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