Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain

Not Applicable

• Conditions: Shoulder Pain
• Interventions: Procedure: Active lavage and suction

• Registration Number: NCT02004470
• Lead Sponsor: University of Tennessee

Brief Summary

The use of laparoscopy in gynecologic surgery has been well established to decrease morbidity, blood loss, hospital stay, and post-operative pain when compared to traditional open abdominal surgery. However, the laparoscopic technique is associated with post-operative shoulder pain.

We hypothesize that a combination of intraperitoneal saline lavage and active suction removal of carbon dioxide gas from the right upper quadrant of the abdomen will decrease incidence of post-laparoscopic shoulder pain when compared to passive exsufflation of carbon dioxide gas.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2013-11-15
• Study First Submitted QC: 2013-12-04
• Study First Posted: 2013-12-09
• Status Verified: 2014-01
• Study Start: 2014-01
• Last Update Submitted: 2014-01-03
• Last Update Posted: 2014-01-06
• Primary Completion: 2014-04
• Study Completion: 2014-06

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• English speaking patient
• Female
• Age 18-75
• must undergo laparoscopic surgery
• willing to participate in the study

Exclusion Criteria

• Male patients
• Under 18 or older than 75
• Laparoscopic procedures that get converted to laparotomy
• Intraoperative hemorrhage more than 500 cc
• Patients with active joint disease
• History of shoulder surgery
• Intraoperative laceration to the liver
• Malignancy
• Long term daily narcotic use
• Chronic right upper quadrant/ shoulder pain
• Pregnancy
• History of dementia, Alzheimers, stroke or other condition causing altered mental status

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active lavage and suction	Active lavage and suction	This step is already employed in many ongoing surgeries where normal saline will be used to lavage the right upper quadrant and then will be suctioned out to remove as much Carbon dioxide from the patient's abdomen and to therefore decrease postoperative pain.

Primary Outcome Measures

Name	Time	Method
Pain Score	48 hours	We will assess a pain score based on a visual analog score of 1-10 at 48 hours post operatively.

Secondary Outcome Measures

Name	Time	Method
blood loss	6 hours	We will assess intraoperative blood loss.
analgesic use	7 days	We will assess total analgesic, iv and oral used over the course of 7 days postoperatively.
Anti emetic use	48 hours	Total amount of intravenous and oral narcotic used postoperatively.
operative time	24 hours	We will assess how long each surgery takes to complete.

Trial Locations

Locations (4)

Memorial Hospital; 🇺🇸 Chattanooga, Tennessee, United States

Erlanger East Hospital; 🇺🇸 Chattanooga, Tennessee, United States

Erlanger Medical Center; 🇺🇸 Chattanooga, Tennessee, United States

Parkridge East Hospital; 🇺🇸 Chattanooga, Tennessee, United States