Reducing Shoulder Tip Pain Following Laparoscopic Surgery

Taipei Veterans General Hospital, Taiwan180 enrolled

Overview

Laparoscopic surgery is becoming a major procedure, owing to smaller incisions, shorter hospitalizations, and less post-operative pain as compared with traditional laparotomies. However, there is marked interindividual variability of post-operative shoulder-tip pain following laparoscopic surgery. The incidence of shoulder pain varies from 35% to 80% and ranges from mild to severe. In some cases, it has been reported to last more than 72 hours after surgery. The hypothesis of post-operative shoulder-tip pain is that carbon dioxide induced phrenic nerve irritation causes referred pain to C4. Therefore, the investigators should try to reduce carbon dioxide retention in the pelvic cavity.

This clinical controlled trial is tried to find out the practical and clinical maneuver to reduce post-operative should-tip pain following laparoscopic surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

180

Conditions

Shoulder Pain Laparoscopic Surgery

Interventions

Pulmonary recruitment maneuverPROCEDURE

a pulmonary recruitment maneuver consisting of five manual pulmonary inflations was performed with a maximum pressure of 60 cm H2O. The anestheiologist held the fifth positive pressure inflation for approximately 5 seconds.

Intraperitoneal normal salinePROCEDURE

the upper part of the abdominal cavity was evenly and bilaterally filled with the 0.9% normal saline in the amount of 500 cc. We will leave the fluid in the abdominal cavity.

Control groupPROCEDURE

CO2 was removed by passive exsufflation through the port site.

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients receive benign gynaecological laparoscopic surgery. * American Society of Anesthesiologists (ASA) physical status of patient: classification I-II Exclusion Criteria: * The procedure will be required to conversion to laparotomy. * Any cardio-vascular diseases.

Locations (1)

Taipei Veterans General Hospital

Taipei, Taiwan

RECRUITING

Outcomes

Primary Outcomes

the severity and frequency of shoulder-tip pain after laparoscopic surgery

We will follow the patients in the first 48 hours after the surgery. The primary outcome measure of this trial is the severity and frequency of shoulder-tip pain after laparoscopic surgery. The main objective of this trial is to assess the efficacy of clinical maneuver to reduce shoulder-tip pain after laparoscopic surgery.

Time frame: the first 48 hours after the surgery

Secondary Outcomes

Nausea or abdominal fullness after laparoscopic surgery

Postoperative illness, such as nausea, vomiting or abdominal fullness were also recorded.

Time frame: the first 48 hours after the surgery

Central Contacts

Yi-Jen Chen, Ph.D.

CONTACT

886-2-28757566 chenyj@vghtpe.gov.tw

Data from ClinicalTrials.gov

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