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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
100
Active lavage and suction of the right upper quadrant will be performed as the laparoscopic procedure is about to be terminated.
Erlanger Medical Center
Chattanooga, Tennessee, United States
Memorial Hospital
Chattanooga, Tennessee, United States
Parkridge East Hospital
Chattanooga, Tennessee, United States
Erlanger East Hospital
Chattanooga, Tennessee, United States
Pain Score
We will assess pain scores based on visual analog score from 1-10 at 12 hours postoperatively.
Time frame: 12 hours
Pain Score
We will assess a pain score at 24 hours post operatively based on a visual analog score of 1-10
Time frame: 24 hours
Pain Score
We will assess a pain score based on a visual analog score of 1-10 at 48 hours post operatively.
Time frame: 48 hours
operative time
We will assess how long each surgery takes to complete.
Time frame: 24 hours
blood loss
We will assess intraoperative blood loss.
Time frame: 6 hours
analgesic use
We will assess total analgesic, iv and oral used over the course of 7 days postoperatively.
Time frame: 7 days
Anti emetic use
Total amount of intravenous and oral narcotic used postoperatively.
Time frame: 48 hours
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