Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 4
- 主要终点
- Pain Score
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •English speaking patient
- •Age 18-75
- •must undergo laparoscopic surgery
- •willing to participate in the study
排除标准
- •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
研究组 & 干预措施
Passive exsufflation
Will not actively suction carbon dioxide from abdomen. Open laparoscopic trocars and allow C02 to passively empty from abdomen.
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.
干预措施: Active lavage and suction (Procedure)
结局指标
主要结局
Pain Score
时间窗: 48 hours
We will assess a pain score based on a visual analog score of 1-10 at 48 hours post operatively.
Pain Score
时间窗: 12 hours
We will assess pain scores based on visual analog score from 1-10 at 12 hours postoperatively.
Pain Score
时间窗: 24 hours
We will assess a pain score at 24 hours post operatively based on a visual analog score of 1-10
次要结局
- operative time(24 hours)
- blood loss(6 hours)
- analgesic use(7 days)
- Anti emetic use(48 hours)