Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- University of Tennessee
- Enrollment
- 100
- Locations
- 8
- Primary Endpoint
- Pain Score
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 75 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •English speaking patient
- •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
Outcomes
Primary Outcomes
Pain Score
Time Frame: 48 hours
We will assess a pain score based on a visual analog score of 1-10 at 48 hours post operatively.
Secondary Outcomes
- blood loss(6 hours)
- analgesic use(7 days)
- Anti emetic use(48 hours)
- operative time(24 hours)
