An open labelled Randomized control trial to assess the effectiveness of pulmonary recruitment manoeuvre in reduction of postoperative shoulder pain in laparoscopic surgeries

shoulder pain and pain in the upper abdomen are common complaints after laparoscopy, sometimes surpassing the pain at incision sites. The incidence of shoulder pain ranges from 35 to 80%. Post-laparoscopic shoulder pain is caused by retention of carbon dioxide in the abdomen, which irritates the phrenic nerve and diaphragm, causing referred pain in the shoulder and in the upper abdomen. A promising strategy to reduce this post-laparoscopic shoulder pain is the pulmonary recruitment manoeuvre, which indirectly increases intraperitoneal pressure and thereby facilitates removal of residual carbon dioxide.

Null Hypothesis-Pulmonary recruitment manoeuvre is not effective in reducing postoperative shoulder pain in patients undergoing laparoscopic surgeries