User

Comparison of Pain in the Kocher and Midline Incisions in Patients with Post Cholecystectomy

Agus Yulianto, Agus Raharjo, Untung Alifianto, RTH Supraptomo

Abstract

Background: Incision techniques that are of­ten used in cholecystectomy laparotomy are the Koc­her incision and midline incision. This study was carried out to compare the pain in the Kocher's in­cision and midline incision in patients with post­operative cholecystectomy laparotomy.

Subjects and Method: : This study was an ob­ser­vational randomized controlled trial double sampling study conducted at the Department of Sur­gery Dr. Moewardi Hospital Surakarta in Octo­ber 2018 to February 2019. The sample of this study was 30 patients aged 18-65 years old who were diagnosed with symptomatic chole­lithiasis based on clinical, laboratory, and radio­logical tests. The samples were selected by simple ran­dom sampling. The dependent variable of this study was the pain. The independent variables were the Kocher and midline incision techniques. The pain was measured on a 24-hour post­ope­ra­ti­ve VAS scale, range 1-10. Data were analyzed by t-test.

Results: There was no significant difference in pain level between the Kocher group (Mean= 2.33; SD=0.72) and the midline group (Mean= 2.20; SD=0.97) with p=0.192.

Conclusion: There is no difference in pain level due to the Kocher incision technique and the mid­line incision technique.

Keywords: pain, incision, kocher, midline, cholecy­stectomy

Correspondence: R. Th. Supraptomo. Anesthesia dan Intensive The­rapy Department Dr. Moewardi Hospital, Sura­karta. Jl. Kolonel Sutarto 132 Jebres, Surakarta, Central Java 57126. Email: ekasatrio@gmail.com. Mobile: 081229229567

Indonesian Journal of Medicine (2020), 05(03): 240-245
https://doi.org/10.26911/theijmed.2020.05.03.09

 

 

Full Text:

PDF

References

Apfelbaum J, Chen C, Mehta SS, Gan TJ (2003). Postoperative pain experience: Result from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg. 97(2): 534–540. https://doi.org/10.1213/01.ane.0000068822.10113.9e.


Burger JWA, van‘t Riet M, Jeekel J (2002). Abdominal incisions: Techniques and postoperative complications. Scand J Surg, 91: 315–321. Retrieved from: https://journals.sagepub.com/doi/pdf/10.1177/145749690209100401.


Goligher J, Graham NG, De Dombal FT, Giles GR, Clark CG (1969). The value of stretching of anal sphincters in the relief of pain after haemorrhoidectomy. Br J Surg, 56(5): 390. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/5781088.


Keshav K, Chahal MS, Joshi HS, Kashmir S, Agarwal R (2015). Prevalece of different types Gallstone in the patient with cholelithiasis at rohilkhan medical college and hospital. Int J Contemp Surg, 3(1): 1–4. http://doi.org/10.5958/2321-1024.2015-.00001.X.


Kloeters O, Ulrich DJO, Bloemsma G, van Houdt CIA (2016). Comparison of three different incision techniques in A1 pulley release on scar tissue formation and postoperative rehabilitation. Arch Orthop Trauma Surg. 136: 731–737. https://doi.org/10.1007/s00402-016-2430-z.


Leppert W (2009). Tramadol as an analgesic for mild to moderate cancer pain. Pharmacol Rep, 61(6): 978–992. https://doi.org/10.1016/s1734-1140(09)70159-8.


Parmar A, Parmar AD, Sheffield KM, Adhikari D, Davee RA, Vargas GM, Tamirisa NP, Kuo YF, et al. (2015). PREOPGallstones: A prognostic nomogram for the management of symptomatic cholelithiasis in older patients. Ann Surg, 261(6): 1184–1190. https://doi.org/10.1097/SLA.0000000000000868.


Patnaik VV, Singla RK, Bansal V (2001). Surgical incisions—Their anatomical basis part IV abdomen. J Anat. Soc. India, 50(2): 170–178. Retrieved from: http:-//medind.nic.in/jae/t01/i2/jaet01i2p170.pdf.


Taylor P (2007) Principle of Pain: Principle of Medical Pharmacology. 7th edn. Canada: Elsevier.

Refbacks

  • There are currently no refbacks.