The Effective Maneuver to Reduce Shoulder Pain After Laparoscopic Gynecologic Surgery: Randomized Controlled Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Gynecologic Diseases
- Sponsor
- Kangbuk Samsung Hospital
- Enrollment
- 144
- Locations
- 1
- Primary Endpoint
- Shoulder pain evaluated by 10 point visual analogue scale
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The aim of this clinical trial is to estimate the efficacy and safety of combined intervention with the intra-peritoneal normal saline instillation and pulmonary recruitment maneuver for reducing post-laparoscopic shoulder pain.
Detailed Description
Shoulder pain after laparoscopy is common and its probable mechanism is residual carbon dioxide gas after surgery. Both the intra-peritoneal normal saline instillation and pulmonary recruitment maneuver could effectively reduce post-laparoscopic shoulder pain. However, the efficacy and safety of combined intervention with normal saline instillation and pulmonary recruitment maneuver have not been investigated yet. The aim of this clinical trial is to estimate the effectiveness of combined intervention with the intra-peritoneal normal saline instillation and pulmonary recruitment maneuver for reducing post-laparoscopic shoulder pain.
Investigators
Kyoungho Ryu
Clinical assistant professor
Kangbuk Samsung Hospital
Eligibility Criteria
Inclusion Criteria
- •patients undergoing laparoscopy for benign gynecologic diseases
- •patients aged 19-65 years
- •patients with american society of anesthesiology physical status I-II
- •patients obtaining written informed consent
Exclusion Criteria
- •patients with chronic shoulder pain, chronic epigastric pain or chronic pain syndrome
- •patients with past history of pneumothorax or any pulmonary surgical history
- •patients with any shoulder surgery histories
- •patients who required to conversion to open surgery from laparoscopic surgery
- •patients who required to receive incidental upper abdominal surgeries due to adhesion and injury at upper abdominal cavity
- •patients with inability to understand or express 10 point visual analogue scale
- •pregnant women
Outcomes
Primary Outcomes
Shoulder pain evaluated by 10 point visual analogue scale
Time Frame: after two day of procedure
The pain score was evaluated by 10 point visual analogue scale.
Secondary Outcomes
- Wound pain evaluated by 10 point visual analogue scale(after two day of procedure)