Why does the stomach hurt after laparoscopy
- 1. After laparoscopy, stomach ache
- 2. Basic characteristics of laparoscopy
- 2.1. Benefits of laparoscopy
- 3. Causes of pain after laparoscopic intervention
- 4. What complications may occur?
- 4.1. The most frequent complications after laparoscopy
- 5. Stories of our readers:
- 5.1. Natalia, 32 years:
- 6. How does the stomach hurt after laparoscopy?
- 7. Treatment of pain after laparoscopy
Pain after laparoscopy is not such a rare problem. In this article, we will look at all the causes of unpleasant sensations in the abdomen after surgery, as well as methods for getting rid of pain.
After laparoscopy stomach hurts
All patients complain of pain after laparoscopy, due to the trauma of soft tissue structures in the anterior abdominal wall, as well as internal organs and peritoneum. The painful sensation is provoked by argon or carbon dioxide molecules, which enter the abdominal cavity during the operative period.
The pain after laparoscopy is not very strong. The sensations are much weaker than after a normal operation, moreover, traces of the intervention heal much faster, and the rehabilitation process is much easier. To make the pain less pronounced, doctors prescribe narcotic analgesics, nonsteroidal drugs against inflammation and analgesics. After a day, or even 12 hours, the pain subsides, however, a slight discomfort can still be observed in the patient.
The most frequent complaints of patients:
- hurts the entire abdomen area without any specific localization,
- after laparoscopy, the ovary hurts,
- after laparoscopy there is a side pain
- navel hurts,
- after surgery laparoscopy hurts the seam.
Prerogative aspects of laparoscopy
Laparoscopy, for the most part, is used for abdominal and gynecological operations. More rarely in thoracic surgery (on the chest). The prerogative aspects of the operation are:
- shorter time interval of the operation,
- minimal tissue invasiveness (little invasive intervention),
- Accelerated rehabilitation of the patient
- the possibility of using laparoscopy as a diagnostic procedure,
- minimal risk of adhesions development,
- aesthetic appearance of postoperative scars.
Despite the fact that laparoscopic surgery has several advantages over conventional abdominal surgery, as with any surgical procedure, many patients have a stomach ache after laparoscopy, as well as weakness, nausea, loss of appetite. A short pain syndrome is not a pathology. If the pain is disturbed over a long period of time, we can assume the presence of postoperative complications.
Common causes of pain
Pain after laparoscopic intervention can be varied in nature, location and duration. It depends on the operated organ, the complexity of the operation and the quality of its operation.
Common reasons why this or that area of the body hurts are:
- Trauma to the external integument, soft tissues and internal organs due to surgical incisions and the introduction of surgical instruments into the body. Localization of pain corresponds to the place of operation.
- Painful feelings of arching nature caused by the introduction of carbon dioxide. This manipulation is performed to stretch the walls of the abdominal cavity so that the internal organs are better visualized. Pains are stationed not only in the operated area, but can radiate (give) to the chest area and shoulders.,
- Patient violation of the postoperative regimen. After laparoscopy it is necessary to adhere to a dietary ration, and to limit physical activity. Failure to comply with the rules leads to the appearance of pain.
- Headaches, dizziness, discomfort in the throat. Arise as a result of anesthesia. Anesthesia in this case is carried out endotracheally, that is, simultaneously through the respiratory tract and intravenously. The painful phenomena, as a rule, have short-term character.
The postoperative period without complications
Abdominal pain after laparoscopy is normal because the body is under stress from a violent intervention. With a normal outcome of the operation, the nature of the pain should look something like this:
- continuous and intense in the incision area - in the first twelve hours after laparoscopy,
- weak, aching, radiating to the upper body - during the day,
- uncomfortable and weak pain - within 48 hours,
- acute short pain when making sharp movements - during inpatient treatment.
After laparoscopic intervention, the patient is hospitalized for 3 to 6 days. By the end of the hospital stay, there should be no pain.
Analgesics and nonsteroids and drugs with anti-inflammatory action are used to eliminate pain syndrome in the hospital. These drugs inhibit (block) the physiologically active compound prostaglandin, as the source of the spread of the inflammatory process.
Analgesic drugs are prescribed with caution, because they have a negative effect on the blood-healthy process in the body. With a decrease in pain, analgesics are canceled so as not to cause unwanted side effects.
If the pain does not differ in intensity and duration of manifestation (are tolerable), doctors recommend abandoning pain medication. In severe cases, opiate alkaloids are used opiates (opiates). In a situation where acute continuous pain stalks the patient for more than 12 hours, ultrasound or other hardware diagnostics are required to establish the cause and identify possible complications.
Removal of the organ (cholecystectomy) is accompanied by painful manifestations in the right side, in the incision area. The pain can be extensive, not having a specific concentration.
Resection of a part of the stomach (gastroectomy) is excreted with pains of the entire abdomen, since the operated stomach and adjacent organs usually hurt.
Unforeseen situations or complications
Complications in patients undergoing laparoscopic surgery are rare. The causes of adverse events can be: malfunctioning equipment, low qualification of medical personnel, non-compliance with sterility standards, changes in visualization of organs from a three-dimensional during a band operation on a two-dimensional vision in the eyepiece.
- Before inserting a laparoscope and surgical trocars into the body, an initial puncture is made with a Veress needle. Manipulation is carried out blindly. If the surgeon makes a mistake, it is possible to injure adjacent organs with the operated organ. Slight bleeding is resolved promptly. If the bleeding is abundant, most often, the doctor decides on the transition to a laparotomy (abdominal incision).
- Patients with heart disease, atherosclerosis, varicose veins, there is a likelihood of blood clots. To avoid this problem, before the operation the patient is injected with drugs that thin the blood.
- With the incorrect introduction of carbon dioxide into the abdominal cavity, it is possible that the bubbles under the skin will accumulate (emphysema). The situation is resolved during laparoscopy.
- A dangerous complication is the burn of the internal organs during coagulation (cauterization of electric current bleeding). The consequence of a severe burn may be tissue necrosis (death).
- If the rules of sterility are not observed, infection of the seams is possible. Suppuration of surgical incisions is extremely rare.
- Difficult breathing and unstable pressure can occur as a reaction to anesthesia and the introduction of gas in hypertensive patients, asthmatics and patients with heart disease. Such symptoms can not last long and stop during the operation.
- When excising the body affected by oncology, the skin may be damaged when it is removed from the abdominal cavity. The occurrence of such a pathology depends on the skill of the surgeon.
- Postoperative hernia may occur due to improper suturing of the trophic holes.
In order to avoid the listed complications, laparoscopy must begin and end with a detailed examination. An experienced doctor will not allow negative consequences, or will be able to stop arising difficulties in time. For severe complications, the surgeon should be ready at any time to move from laparoscopy to conventional abdominal surgery.
In addition to severe pain, in the postoperative period, there may be: hyperthermia (temperature increase), discoloration of the epidermis (skin) around the scar to bright red, discharge from the sites of blood incisions or pus, constant headache, short-term bouts of loss of consciousness. This condition is abnormal and requires immediate treatment for medical assistance. With proper laparoscopy, the risk of complications is no more than 1%. The patient should carefully consider the choice of the clinic and assess the qualifications of medical specialists.
Features of laparoscopic operations
Laparoscopic surgery is currently widespread. They are performed in almost every major medical center. Laparoscopy is considered a benign method of surgery. It is actively used in the treatment of gynecological diseases.
There are some indications according to which the doctor may prescribe laparoscopy. These include the following types of pathologies:
- uterine fibroids
- the presence of adhesions in the fallopian tubes
- obstruction of the fallopian tubes
- presence of cysts on the ovary
When a doctor finds it difficult to make a correct diagnosis or they need to confirm it, he may also prescribe a laparoscopy.
During the operation, the surgeon makes an incision in a certain place and inserts through it a special device - a laparoscope. It is a very thin endoscope with a miniature video camera at the end. The diameter of the endoscope is only 5 millimeters.
Soreness of the procedure
During laparoscopic surgery, the patient does not feel any pain. The procedure takes place under general anesthesia. In this case, intravenous anesthesia can be used, but most often it is endotracheal anesthesia that is used. A special tube is inserted into the patient's airway. This is necessary to ensure free breathing, as well as to prevent residual contents of the stomach from entering the lungs.
The need for tracheal intubation is due to some features of this operation.
In some cases, applied and local anesthesia. Widely used method in which the doctor introduces painkillers, sticking it between the vertebral discs. As a result, the patient completely ceases to feel the lower part of the body, while he himself is conscious. This method is used if the operation is not difficult, short-term, as well as if the patient is contraindicated for general anesthesia for health reasons. Most often, local anesthesia is offered to people in ages or with certain chronic illnesses.
In modern clinics used the most advanced methods of anesthesia. It helps to make the procedure completely painless.
Pain after laparoscopy
Many people are afraid of pain after laparoscopy. In fact, this should not be afraid. Pain in this case is much less intense than after abdominal surgery.
Pain after laparoscopy may be different:
- pain in the cut area
Pain in the operated area usually occurs immediately after the anesthesia has gone. Experts call it a postlaparoscopic pain syndrome. Her nature is clear. Discomfort occurs as a result of trauma to the soft tissues, peritoneum, internal organs. It is especially clearly felt in the places where the endoscope is inserted. Also, doctors note that pain is often localized in the upper regions of the abdomen, although these areas are not affected during the operation.
About 96% of patients who underwent such an operation complained of a rather strong postoperative pain. Studies were conducted and experts were able to establish that on a 100-point scale, the intensity of pain was estimated at an average of 60 points. These figures apply to assessing patient sensations immediately after laparoscopy.
Within 2 hours after the discharge of anesthesia, most patients rated their pain sensations at 30 points out of 100. The pain in the abdomen and postoperative sutures in most cases disappears only after 24 hours. They are replaced by unpleasant sensations that can appear when pressing on the seam or injuring it.
- shoulder and chest pain
This type of pain is often observed after laparoscopy, since during the operation carbon dioxide is injected into the abdominal cavity. Carbon dioxide ruptures the abdomen, which leads to the contraction of certain internal organs and the diaphragm.
A bulging pain in the shoulders and chest can be felt for several days. But it can not be called strong. As a rule, it delivers only inconvenience and discomfort to patients.
Sore throat after laparoscopic surgery occurs after the patient inserts into the patient’s throat a tube through which he breathes. Through the same tube is anesthesia. These painful sensations are insignificant and have a mild nature.
Postoperative pain relief
Modern doctors prefer not to use painkillers after laparoscopic surgery. It is believed that in this case the pain is not so pronounced as to make it necessary to give an injection.
Pain relief can be used only in some situations where it is really necessary. As a rule, it is used once and immediately after the patient is removed from anesthesia.
Doctors do not rush to inject drugs that block pain without need, for the reason that this may interfere with the timely diagnosis of complications arising after surgery.
Acute pain after 12 hours after intervention is not the norm. This may be the reason for additional diagnostics. It may also indicate a not very successful operation.
Recovery after surgery
The patient recovers quickly after laparoscopy. The next day, the doctors allow the patient to get up, eat, and self-serve.
Rehabilitation after laparoscopy may take several weeks. During this time, it is forbidden to lift weights, wash in the bathroom, actively engage in sports.
Until the seam is completely healed, it must be treated daily with antiseptics, and basic hygiene procedures must be carried out.
Doctors do not recommend sex after laparoscopy. You can return to a full-fledged sex life within 3 weeks after surgery.
The menstrual cycle after laparoscopy usually recovers well. For most women, there was not even any disruption in the menstruation schedule. It is necessary to consult a doctor with an irregular cycle.
You must also go to the hospital if a person has:
- abdominal pain
- pus on the seam surface
Complications after laparoscopy are quite rare. Most patients return very quickly to full-fledged life and soon even plan a pregnancy.
Basic laparoscopy characteristics
The method of laparoscopy is used quite often in modern medical practice, as it has more advantages than the classical operation (laparotomy). First, the traces after laparoscopy are not so noticeable, and the healing process is much more intensive. Secondly, the intervention is not so painful for the patient, therefore, large doses of analgesics are not prescribed during the rehabilitation period, which significantly reduces the risk of side effects. After the operation, in the long term, adhesion is formed much less frequently, therefore there is practically no chronic pain as such.
So, the operation, as a rule, is carried out using general endotracheal anesthesia. Sometimes local anesthesia is applied. Local anesthesia is usually prescribed to elderly patients, if there are any contraindications to other types of anesthesia. During the operation, the pain is not felt, even if the person has not fallen asleep. These are the properties of local anesthesia: the lower part of the body completely loses sensitivity.
Immediately after administration of the anesthetic, several small incisions are made on the anterior abdominal wall, and then this area is expanded with a trocar. After that, surgical equipment is inserted into the open cavity, including a special video camera that displays the image on the screen. In addition, neutral or carbon dioxide is introduced into the cavity, due to which the space inside expands. Thus, the surgeon tracks each of his actions with an image on a monitor. After all the manipulations have been performed, the doctor sews up the incisions. Если в реабилитационный период возникают боли, то для их уменьшения в полость вводятся специальные препараты.
Причины боли после лапароскопического вмешательства
Laparoscopy is carried out both for medical and diagnostic purposes, while the causes of pain are different. First, the procedure somehow damages the soft tissue structures and internal organs, and can also cause irritation of the abdominal cavity. The location of the pain is a scar, parts of the abdomen that are associated with a recent intervention. Secondly, the cause may be a strong effect of carbon dioxide introduced into the cavity (up to 4 liters), and the pain is felt in the shoulders and back, in the upper regions of the abdomen.
After laparoscopy, the woman soon returns to normal.
The process of pain development after laparoscopy has not been studied comprehensively. Some experts believe that irritation occurs after a glut of carbon dioxide, which is proved in a simple way: if carbon dioxide is replaced by argon or nitrogen, the effects are less pronounced. Other professionals claim that the pain is caused by mechanical manipulations in the peritoneum where the gas bubble is located (under the diaphragm). Both versions are correct, although all these aspects together matter.
Another factor causing pain is a consequence of nervous irritation in the abdominal and diaphragmatic area, as well as a malfunction of the vessels and blood flow. The pain syndrome pattern is characterized by the release of prostaglandin and cyclooxygenase, which are considered inflammatory mediators. The intensity of the pain and the very occurrence of the inflammatory process depends on the type of damage and the presence of complications, which can manifest themselves in the form of temperature and the release of pus from the wound area.
What complications can occur?
In general, the operation does not cause deterioration of the general condition of the patients who underwent it, and complications occur extremely rarely. Of course, you should take into account some of the individual characteristics that emanate from the anatomical structure and physiological mechanisms occurring in the body. Acute complications are observed only in a small percentage of patients; however, they can be avoided by consulting with the surgeon in advance. Only a doctor can determine the potential risk to the body.
The most frequent complications after laparoscopy
As a rule, a group of the most common complications after laparoscopy include trocar injury to the walls of blood vessels, as well as internal organs. Often there are cases when patients receive burns with electricity, which the surgeon may not notice. It is necessary to take into account the fact that during the operation cold gases are used, therefore injuries in the abdominal cavity are a phenomenon that takes place in medical practice.
An additional risk factor may be scars after previous surgical interventions, as well as abnormalities associated with the functioning of platelets. In order to avoid many problems, it is better to immediately warn the physician about the existing pathologies, especially if they are associated with impaired respiratory tract operation - this can lead to a danger after pneumoperitoneum, and to solve these issues it will be necessary to resort to open surgery.
Natalia, 32 years:
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I was very afraid that my husband would get tired of this and he would "go to the left",
My last hope was the Virgin Star cream, I learned about it in one of the largest women's communities, where mothers like me shared their stories and miraculous restoration. This cream restored my vagina in just a few days. The pain and dryness have passed, intimacy has become even better than on our honeymoon! The husband does not get tired of making compliments, as far as I have “there” everything is narrow! I ordered this cream on the official website.
How does the stomach hurt after laparoscopy?
The period after laparoscopy may be different pains of a different nature. Upon completion of the operation, the patient feels a rather severe pain, which gradually decreases during the first 12 hours. A day later, she finally calms down, but does not disappear completely. There are times when pain syndrome lasts longer. For example, in women who have undergone gynecological intervention. If the pain is severe and excruciating, then this may be a sign that the nerve was damaged during the operation and the blood flow was disturbed. If several days have passed after laparoscopy, and the pain is only getting worse, this may signal the beginning of infection of the internal structures. The first side sign is a rise in temperature.
It is quite natural, when in the first days after the operation, the stomach aches in the places where the punctures were made. The pain can gradually move to the diaphragmatic area. The second day can be described as a period of pain relief, however, this may cause unpleasant sensations in the shoulder girdle, back, upper abdomen areas. All these sensations are due to the fact that a large amount of gas is injected into the abdominal cavity. As a rule, after laparoscopy, the greatest discomfort occurs in the right side. Some patients after anesthesia of the endotracheal type may feel a sore throat, but it passes quickly enough and does not require medication.
Less than a week later, the pain should disappear. Of course, this period is too small for full recovery, therefore, with sudden movements, discomfort can still be felt. The first month should protect yourself from over-voltage, do not lift heavy objects, do not play sports. If after the operation a lot of time has passed, and the pain has not disappeared, you should consult a doctor - perhaps an infection or ischemia of an organ develops in the body. In case the pain periodically makes itself felt and several months after laparoscopy, this may signal the beginning of the adhesions process.
Sometimes, after laparoscopy, the area around the navel can hurt. There are almost no nerve endings around the navel, but trauma to the surrounding tissues can cause increased innervation at the site of surgery.
If, against the background of pain, additional symptoms also appear, then medical care is clearly not enough. These symptoms include:
- Increased temperature and associated chills,
- Pain of a cutting character in the lower abdomen,
- Periodic fainting,
- Reddening of the areas around the postoperative scars,
- Purulent or bloody discharge from a wound,
- Difficulty urinating,
- General weakness, headache, frequent pre-unconscious conditions.
Abrupt movements can cause discomfort in the lower abdomen in patients undergoing laparoscopy, moreover, this phenomenon is not a deviation from the norm and does not require treatment. If the pain is unbearable, then there can not do without the help of a doctor who will help you choose painkillers. The main thing - do not self-medicate.
Also, patients often complain of lumbar pain and discomfort in the middle part of the abdomen. To reduce pain, you need to increase the rest time and leave for a while strong physical exertion. If after three days the situation does not change for the better, immediately consult a doctor to avoid potential complications.
The first three days may experience side effects of laparoscopy, such as lethargy, abdominal distension and emetic urge. Do not panic, it is quite normal after the intervention. During this period, you should take a closer look at your diet, eliminating heavy food, sweet and flour from it, choosing low-fat dairy products, light broths, biscuits. Since the digestive system has not yet recovered from the intervention, it is better not to overload its organs. You can return to your usual type of food within a few days if pain and other symptoms disappear.
Remember that any intervention is a shock for the body, so the lifestyle during the rehabilitation period should be reconsidered. It is necessary to include walking on the street in the schedule, however, the main thing is not to bring yourself to the state of fatigue. Given these simple rules, the postoperative period will pass quickly and painlessly.
It should also be understood that not all symptoms are abnormal. Doctors say that pain in the lower abdomen is a completely natural phenomenon, which occurs in more than 80% of cases. Of course, intense incessant pain syndrome is clear evidence of a problem, the solution of which should not be relied upon by self-healing.
Treatment of pain after laparoscopy
In order to reduce the intensity of pain, the method of circling the area of the operation using lidocaine, novocaine or other anesthetics is used. Sometimes the drug is injected directly under the diaphragmatic region or into the abdominal cavity. After laparoscopy, the suture area is infiltrated with analgesics. The patient may be prescribed a small dose of the opiate group. Narcotic analgesics have both a number of advantages and a whole set of disadvantages. They are good for dealing with pain, but they can also cause side effects in the form of vomiting, inhibition of consciousness, and the overall picture of the patient’s condition may become unclear.
Non-steroidal drugs that fight inflammation are also effective against pain and discomfort. They are used both after and before the intervention. Active ingredients block the process of prostaglandin production, which is an inflammatory factor. However, these drugs also belong to the group of drugs, so their doses are strictly regulated. Such remedies, like ketans and ketotifen, tend to block the renal blood flow and inhibit the formation of prostacyclin. As a consequence, the renal filtration capacity is slowed down.
tubules, as well as renal failure. Often used and less dangerous drugs, such as analgin or paracetamol. However, analgin adversely affects the hematopoietic function. The active ingredients of these medicines prevent the factors causing inflammation in the central nervous system from spreading, and they do not affect the circulatory system as much.
For the treatment of pain after laparoscopy, especially if it gives to the shoulders, back or abdomen, an integrated approach is needed, which consists of taking local anesthetics of a non-narcotic group and NSAIDs, which are required both before and during the intervention, as well as the administration of opiates after the procedure . Thus, anesthetics and other elements together relieve pain. All drugs are prescribed taking into account contraindications and patient tolerance of a substance.
So, if after laparoscopy, various problems appeared, they should be solved only with the help of a specialist. When relief comes, the use of analgesics is stopped in order to reduce the likelihood of side effects. Pain after laparoscopy requires certain diagnostic measures, as it may be an indication of the complications that have arisen. During the period of rehabilitation should avoid excessive physical exertion. As for gynecology, the main recommendation is temporary sexual rest.
Laparoscopic interventions are characterized by the introduction of a laparoscope and additional manipulators into the abdominal cavity through small incisions on the anterior wall of the abdomen. Such access allows to reduce the invasiveness of manipulation, to ensure rapid discharge of the patient from the hospital, while the effectiveness of treatment is maintained at a high level.
When can laparoscopy be used? Doctors prescribe this operation in the following conditions:
- Acute appendicitis, cholecystitis and other emergency abdominal surgery.
- Single and multiple uterine fibroids.
- Adhesions on the fallopian tubes or their obstruction.
- Ovarian cysts, etc.
Complications of laparoscopy are a rare event that can often be missed by doctors and the patient himself due to mild symptoms.
In addition, laparoscopy can be used as a diagnostic method when it is difficult to make a diagnosis using standard procedures. In this case, the attending physician is able to visually assess the state of the abdominal organs and identify the pathological process.
Pain during the procedure
Proper anesthesia allows you to completely avoid pain during surgery. As a rule, either general anesthesia (endotracheal or intravenous) or spinal anesthesia can be used.
The blockade of nerve impulses from the organs of the abdominal cavity and from its membranes, allows you to prevent the appearance of pain during manipulations on them, which is very important for maintaining the function of vital systems (cardiovascular and respiratory).
In this regard, the patient can hurt anything only after laparoscopy of an ovarian cyst or any other manipulation, but not during its implementation. If the patient says that the loin or any other area hurts during the operation, then most likely the reason for this is not directly related to the laparoscopy itself. A number of patients complain that their legs ached. Such a state may be associated with reflex spasm of the vascular bed or irritation of nerve fibers.
Abdominal pain after laparoscopy can occur for a wide range of reasons, starting with the complications of the underlying disease, and ending with the mistakes of the operating surgeon.
If the pain is localized in the right side, or the lower abdomen hurts, then this may be due to the traumatization of the delicate sheets of the peritoneum and the onset of the inflammatory and adhesive processes. In such cases, it is necessary to prescribe medication therapy and constant monitoring. Pain in the left side or under the ribs may also be associated with the indicated causes. Your doctor needs to be very careful: if a woman has lower abdominal pain, then you need to be sure that these are not manifestations of menstruation. Pain in the upper abdomen may be associated with diseases of the stomach, and not with the intervention.
If the patient has a backache, then this may be a manifestation of osteochondrosis, however, it is important not to miss another pathology, which manifests itself similarly.
If the pain develops in a patient 2-4 days after the operation, and at the same time the temperature rises, then a possible cause is the addition of a bacterial infection and the development of a purulent-inflammatory process. In this case, the abdomen after laparoscopy hurts constantly, which represents a serious discomfort for patients. Antibacterial therapy is shown to all patients with the similar phenomena.
Pain in the area of postoperative sutures
Immediately after the end of anesthesia, the appearance of unpleasant sensations in the skin is possible - wounds ache, pain occurs. As a rule, a similar consequence is observed in many patients, but passes within a few hours or days against the background of dressings and the use of medicines.
Why do such pains appear? During surgery, the doctor must apply incisions on the anterior abdominal wall for the introduction of all instruments. As a result, soft tissue trauma occurs with the development of a small inflammatory process in them. Adequate dressings and the use of medications allow you to quickly cope with discomfort. If the wound fell ill a few days after the operation, then this may be due to the addition of an infection, which requires the appointment of additional treatment.
Unpleasant sensations in the shoulder and chest
The use of carbon dioxide to “inflate” the abdominal cavity during laparoscopy can lead to an excessive increase in intra-abdominal pressure with compression of the diaphragm and chest organs. Within a few days after the operation, the patient begins to experience discomfort and pain in the chest, in the area of the clavicles, neck and shoulders.
Such sensations persist in patients for several days, after which they completely disappear without any consequences. If these pains after laparoscopy do not go away within 5-7 days, then you should seek medical help.
Sore mouth and throat
As a result of the introduction of the endotracheal tube to ensure general anesthesia, irritation and damage to the mucous membrane of these localizations is possible. Such pains are insignificant and do not cause the patient significant discomfort.
Organization of anesthesia after laparoscopy
It is not recommended to prescribe painkillers after laparoscopic intervention, as this can hide important symptoms indicating the development of serious complications in the human body. As a rule, weak pains disappear within a few hours or days on their own. Если же боль причиняет больному значительный дискомфорт и остро выражена, то используют ненаркотические и наркотические анальгетики.
Своевременное обращение в медицинское учреждение позволяет предупредить прогрессирование осложнений.
Если боль возникает остро, то необходимо срочно обратиться за медицинской помощью, так как это может быть проявлением острой хирургической патологии, например, ишемии кишечника, кишечной непроходимости и прочего.
How long can the pain syndrome last? There is a certain classification of pain: acute pain - up to 3-5 days, and chronic - up to one month or more. In any case, the patient should always contact your doctor in order to rule out serious diseases.
Pain after laparoscopy is the most common complication of this surgical procedure. However, in most cases, this pain syndrome is temporary and runs independently within a few hours or two to three days after the end of the manipulations. If the pain remains or increases, then this is a direct indication for medical consultation with the appointment of appropriate treatment.
Pain in the first day after laparoscopy of the uterus
During laparoscopy of the uterus, the patient does not feel pain, since general anesthesia or spinal anesthesia is most often used. Immediately after the operation, the pain in the incision sites is natural. In medicine, such sensations are called post-laparoscopic pain syndrome. Experts explain their nature damage to the integrity of the skin, injury to soft tissues and organs of the small pelvis.
Studies show that in the first hour after recovery from anesthesia, a woman can assess the power of pain as 60 points on a 100-point scale. Already 3 hours after the operation, the strength of the pain decreases to 40 points. Its final disappearance occurs only 24 hours after the procedure. However, for a long time discomfort will be felt when pressing or rubbing the skin at the site of the seams.
Chest and shoulder pain are also considered natural. This is due to the peculiarity of laparoscopy, namely the use of carbon dioxide. It compresses all internal organs and raises the diaphragm. Such pains are not very pronounced and they disappear within 48 hours.
Sore throat can disturb patients undergoing surgery under general anesthesia. It often involves the use of a tube that is inserted into the pharynx to ensure the patient’s free breathing.
It is worth noting that many doctors manage the minimum amount of painkillers. This is necessary for the qualitative monitoring of the woman and the timely adoption of measures in the event of postoperative complications.
The rehabilitation period after laparoscopy of the uterus
To prevent cracks in the stomach after laparoscopy of the uterus, the power system should be adjusted. The doctor allows you to eat on the second day after laparoscopy. At first it is allowed only in the liquid state (yogurt, tea, vegetable broth). Then new products are gradually added, with the exception of those that cause flatulence and constipation (legumes, grapes, yeast bread, coffee, rice). All dishes should be low-salted, lean, without preservatives and food additives. You should also increase the use of fresh vegetables and fruits, especially those that restore the level of red blood cells (pomegranate, dried apricots, honey).
Problems during the rehabilitation phase
At the end of laparoscopy, patients may feel some discomfort, which often disappears after a couple of days. Someone complains that he has flatulence, swollen and puffy stomach after laparoscopy. Some patients have nausea and vomiting. The last reaction can be explained by the action of anesthesia. All these symptoms will disappear themselves (after a certain time).
It happens that patients have painful sensations at the incision site. In addition, a sore throat may appear.
But the pain and "bloated belly" - this is quite normal and frequent manifestation after surgery. In addition to the fact that the stomach can swell, there is often discomfort in the shoulder area. Why do all these sensations appear? After the operation, carbon dioxide remains in the body. In many cases, the symptom disappears in a couple of days, but sometimes it can torment the patient for a whole week. With the help of conventional painkillers can get rid of these feelings.
Also, many who have undergone this operation are interested in when you can sleep on your stomach. Each patient is different. Someone already on the second night after surgery can lie on the stomach and sleep in this position. If the patient is still very sick with stitches, then it is better to sleep in the position on the back.
The rehabilitation period after laparoscopy depends on the method of treatment. After diagnostic laparoscopic intervention, one can return to normal life on the fifth day. Wounds will fully heal in a week. On the first day after surgery, there may be slight bleeding from the vagina (if the surgery is associated with gynecology). This can be explained by the fact that a manipulator was inserted into the uterus (at the beginning of surgery), which was removed at the end.
How to remove gas concentrations from the body?
The problem of removing gases from the body occurs in almost all patients. In the recovery period after surgery, everyone must follow a diet. Food consumed should be easily digested, food should also be gentle to the abdominal cavity. Due to this, additional gas formation can be avoided, because gases and so remain in the body after laparoscopy. Their volume depends on how much gas was injected during the operation. And although at the end of the procedure, doctors try to release gas from the abdominal cavity, yet its complete elimination is impossible. Generally speaking, it takes approximately two weeks to remove all the accumulated gases from the body of the operated patient. When this happens, the patient will experience discomfort.
To speed up the process of removing gases follow these rules:
- spend your free time actively (but do not allow overstrain of the body weakened after surgery),
- eat the food that speeds up the metabolic processes,
Depending on the type of operation, doctors inject different amounts of gas, which is distributed throughout the body and can cause pain in different parts of the body. Often it hurts in the chest area, the clavicle and, naturally, the abdominal cavity. It is because of these symptoms and need to remove gas.
First, the doctor may prescribe painkillers that can alleviate the patient's condition. Thanks to the drugs, the person will calmly wait until the gases themselves come out.
If a patient has a complicated case of emphysema, then in order to get rid of accumulated gases it is sometimes necessary to perform a second operation or use special drainage and water jet suction. However, fortunately, this happens very rarely. In other cases, to remove gases, use fairly simple ways. However, any action must be coordinated with your doctor.
Among the medicines that a doctor can prescribe, the most common pharmacological drugs are: Simethicone, Espumizan, or regular activated carbon. The choice of means depends on the force with which the gas-forming processes occur. If gas formation is insignificant, then simple activated carbon will cope with the problem. The most effective of these medicines is Espumizan. As an alternative, you can use Polysorb.
What exercise to do to get rid of uncomfortable gas formation?
If, after laparoscopy, the gases come out very slowly, then light physical exercises will effectively solve this problem. They will improve intestinal motility. The limitation on physical activity after an operation intervention extends over the first three to four days. And then the light sport is not something that is not prohibited, but even shown if you are tormented by bloating after laparoscopy.
The most effective exercises that remove gases from the abdominal cavity:
- a slight tilt of the body forward and in different directions,
- stand on one leg and bend forward (five on each leg),
- do the exercise "bicycle" (at least 15 "spins"),
- Lie on your side and bend your legs (five to ten times),
- alternately retract and relax the belly while lying on the back,
- Lie on your back, bend your knees and begin to relax and retract the stomach,
- stroke the belly in the direction in which the clock hand is moving, gradually increasing the pressing force,
- squeeze the gluteus and anus muscles (about 50 times a day).
Such a simple and harmless selection of exercises will relieve you from pain and discomfort. Accumulations of gases will be completely removed in two to four days. Also, thanks to this complex, the chair after laparoscopy is normalized, and the patient finally feels better. By adhering to a special diet and performing these exercises, you will know for yourself and begin to tell everyone how to remove an inflated stomach after an operation in a short time, only if you yourself will not intentionally inflate it!
Pain during the procedure
Laparoscopic surgery is popular. They are increasingly used in gynecology, with the removal of stones in the gall bladder or bladder, as well as with the removal of abdominal organs. The operation is performed through several small soft tissue punctures.
The progress of the surgical intervention:
- The patient is given anesthesia.
- 3-4 punctures are made on the anterior abdominal wall, through which the surgical instrument and the camera are inserted.
- The abdominal cavity is filled with argon or carbon dioxide to expand the intra-abdominal space.
- The image is displayed on the monitor, the surgeon observes all his manipulations.
- After the operation is completed, the tools are removed, and stitches are applied to the punctures. If surgery is difficult, for example, removal of the uterus, then drainage is left in wounds for 1-2 days. Stitches are applied in this case for 5-6 days.
Before going to the operating table, patients are concerned about the progress of laparoscopy, is it painful. Not. The operation takes place under local or general anesthesia, so the person does not feel any manipulation.
Common endotracheal anesthesia is most commonly used, in which the patient falls asleep. Regains consciousness after the end of the operation. Local (epidural) anesthesia is done less frequently, only if there are contraindications to general anesthesia. The anesthetic substance is injected into the spine, the patient does not feel anything below the area where the anesthesia was injected. Discomfort is very rarely possible, but these are isolated cases.
Unlike laparotomy (abdominal surgery), laparoscopy is more easily tolerated. In some cases, the patient is discharged from the hospital the next day. Analgesics, NSAIDs and lidocaine are used to relieve pain syndrome.
Causes of pain after surgery
Pain occurs after surgery, and in all patients. Compared with laparotomy, the pain is minor and goes much faster. The severity of pain depends largely on the pain threshold of the patient.
More often the pain arises in those places where punctures were made, and also:
- in the abdomen,
- near the navel (when filling with gas, the umbilical ring is stretched),
- in the chest, in the side, under the ribs, in the shoulder,
- in the throat,
- in the genital area.
During the first 12 hours, the most pronounced pain is observed. If during the operation epidural anesthesia was used, the person is worried about pain in the lumbar region.
Pain after laparoscopy occurs for the following reasons:
- Injury of soft tissues and internal organs with a surgical instrument. In this case, the pain is felt in the incision area.
- Stretching, as well as irritation of the abdominal cavity with carbon dioxide, which was introduced during the operation. Up to 3-4 liters of gas are pumped into the patient's abdomen. After the end of the anesthesia, the intensity of pain increases. The patient experiences severe pain at the top of the abdomen, in the back, under the ribs, and even the shoulder may hurt. Some people who have undergone laparoscopy have difficulty breathing. This is caused by the contraction of the diaphragm. It can be painful for a person to straighten up.
- Using the tube through which the patient breathes during surgery. This tube is inserted into the throat, through it comes anesthesia. After its use, the patient feels sore and sore throat, but does not feel any discomfort.
The intensity of pain depends not only on the pain threshold, but also on the indications for the operation.
If the pain does not subside, the temperature rises after laparoscopy, the suture festers, there is tension in the abdominal wall, then you should contact a surgeon. These are symptoms of an infectious process.
You should also seek medical help in such cases:
- cutting pain in the abdomen,
- redness of the seam
- blood in the incision area
- difficulty urinating,
- dizziness, headache, weakness,
Acute pain in the first 12 hours is not the norm. This is a sign of unsuccessful operation.
Patients often complain of pain in the upper abdomen, even if this area was not affected during the operation. The reason has been described above. But you need to know how the stomach hurts after laparoscopy.
The painful sensations appear 2 hours after the operation, when the anesthesia stops functioning. The pain is pronounced, sometimes not to do without analgesics. More than 70% of patients evaluated the severity of pain in 30 points out of 100. The pain disappears in 12-24 hours.
It is impossible to determine where the pain is located, hurts the intestines, stomach or liver. Sudden movements can cause abdominal pain. Discomfort should subside after three days, and disappear for 5-6 days. If this does not happen, you need to consult a doctor.
After performing laparoscopy, the area around the navel sometimes hurts, although there are no nerve endings. The cause is injury to surrounding tissue.
Pain in the upper abdomen, side and under the ribs always occur when removing the internal organs of the abdominal cavity. The peritoneum is stretched, the walls are irritated by carbon dioxide, so painful sensations appear.
Accordingly, the pain after removal of the gallbladder is localized in the abdomen, hypochondrium, flanks, as well as in the places of punctures and cuts. After surgery to remove the organ of the digestive tract pain persists for more than a month, until the functioning of the digestive system normalizes. Pain syndrome can be stopped by analgesics - "Spazmalgon" or "Ketanov." If it does not pass after 2-3 months after laparoscopy, then this indicates spikes.
Sore pain after surgery
After the end of the anesthesia, patients most clearly feel the pain in the area of the incisions. It decreases after 12-24 h. The occurrence of severe pain after a few days after surgery may be associated with the development of complications. In this case, you need to consult a doctor.
Puncture sites heal quickly, because their size is only up to 1.5 cm. They are delayed for 7-14 days, it all depends on the puncture site. Long sutures in the navel heal, probability of suppuration is high.
During the first week after laparoscopy, the seam hurts. Normally, the following symptoms appear:
- It's a dull pain,
- abdominal pain,
- slight suppuration and redness of the incision site,
Such unpleasant sensations should pass on the 7-14 day, it is during this period that the stitches are removed. If during the operation self-absorbable sutures are used, then they disappear by 5-7 days. Fully heal punctures in 30 days.
Does it hurt to remove stitches after surgery?
If you do it in time, the wound does not fester, there are no complications, and the threads do not grow into the skin, then there is no pain. The patient may experience discomfort from the instrument, but not pain.
Only the doctor should be engaged in removal of threads, it is impossible to do it independently. It is important to contact the hospital within the specified time. If the suture grows into the skin, then removing it will hurt.
Pain in the shoulder and chest
This type of pain occurs very often, because carbon dioxide is injected into the abdominal cavity. It expands the peritoneum, but compresses the internal organs. Within 1-2 days after laparoscopy it hurts in the area of the clavicle, chest, in the left or right side, under the ribs. But the pain is moderate, it is easily tolerated without taking painkillers. It is rather a discomfort.
After removal of the gallbladder or appendicitis, the shoulders hurt, the right side, the back on the right side, and the upper abdomen hurt. The most pronounced pain in the puncture site.
Why, after laparoscopy, hurts the shoulder and neck area. The neck, shoulders and chest ache in almost all patients who have undergone this type of surgery. This is due to the introduction of carbon dioxide, which is released within a few days after surgery through the lungs. That is why it hurts the neck, collarbone, throat and other parts of the body.
The most intense pain syndrome the first two days after surgery, as well as during movement.
Pain in the genital area
Laparoscopy is often performed by women due to gynecological diseases. This type of surgery is used for the following purposes:
- diagnosis of genital diseases,
- удаление трубы при внематочной беременности,
- лечение эндометриоза,
- удаление кисты яичников, спаек, фибромы или миомы, а также матки,
- лечение воспалительных процессов органов малого таза.
Также лапароскопия распространена среди мужчин с заболеваниями половых органов. After laparoscopy of the inguinal hernia, men experience minor pain, which disappear after 2-3 days. The pain gives to the lower abdomen, side, lower back or sacrum.
After surgery, the likelihood of complications is high. There is a risk of damaging with a laparoscope the organs that are nearby. This is the intestine, liver and stomach.
Complications after laparoscopy indicate sharp cramping pain.
Lower abdominal pain after female genital surgery is most common. Other types of pain after laparoscopy in gynecology:
- hurt navel or whole belly,
- pulls the lower abdomen,
- hurts postoperative suture,
- the pain is felt in the right side, closer to the ribs,
- hurts chest, shoulders, lower back.
Localization of pain depends on the disease.
After laparoscopy to remove an ovarian cyst, pain in the abdomen and swelling occurs. Painful sensations may disturb the patient for 7 to 30 days. The most severe pain after laparoscopy of ovarian cysts are felt on the first day. Soreness at puncture sites is also expressed.
Do not be afraid if the ovary hurts after laparoscopy. This is normal because soft tissue is injured when a cyst is removed. It is necessary to guard in the event that the pain becomes cutting. It is acute, ovarian pain increases. In this case, need hospitalization.
Women who have undergone laparoscopic surgery on the genitals increase the risk of inflammation of the appendix, so you need to pay attention to the nature of pain. Pain in the abdomen may be associated with menstruation, which usually begins a short time after surgery.
After laparoscopy, the fallopian tubes for ectopic pregnancy will pull the lower abdomen for at least a month. But such pain is mild. It should not cause discomfort or disability. Pain may be aggravated by sudden movements. After laparoscopy, the uterus is painful to write and also to defecate.
Other characteristic pain syndromes
Very often, patients experience back pain. Pain syndrome occurs due to epidural anesthesia. The pain is mild, it can bother the patient for several months after surgery. Sometimes back pain due to carbon dioxide.
After anesthesia, the whole body can ache, muscle weakness, dizziness and headache can be felt. If the anesthetic substance was injected into a vein, then the hands may hurt, and after a couple of days, the legs. Extremity soreness may occur if carbon dioxide enters the bloodstream.
If the nerve is damaged by a surgical instrument, the patient has skin pain or no sensitivity of the skin. Pain syndrome must pass with time. If this does not happen, then the cause may be spikes.