Randomized Study in the Prevention of Pain Shoulders After Laparoscopic Surgery

GCS Ramsay Santé pour l'Enseignement et la Recherche190 enrolled

Overview

The purpose of this study is to assess shoulder pain at rest (average over the last 24 hours) assessed by visual analogue scale from 0 to 100mm on Day 1.

This is an interventional, comparative, controlled, randomized, single-blind study (the patient will be blinded to the result of the randomization, unlike the investigator) and single-center. Comparative prospective cohort study of laparoscopic surgery with the addition of specific non-surgical interventions aimed at preventing postoperative shoulder pain (use of local intraperitoneal anesthetics, alveolar recruitment maneuver and compression maneuver abdominal) versus without specific interventions aimed at preventing post-operative shoulder pain. All patients will benefit from Transversus Abdominis Plane block with multimodal analgesia provided in the usual setting of laparoscopic surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

190

Conditions

Shoulder Pain

Interventions

Digestive or gynecological surgery by laparoscopyPROCEDURE

Digestive or gynecological surgery by laparoscopy with a Transversus abdominis plane block before the incision and systematic standardized multimodal analgesia

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years; * Celiosurgery including a Transversus Abdominis Plane block with multimodal analgesia; * Planned laparoscopic surgery for gallbladder, inguinal hernia, umbilical hernia, incisional hernia repair, adnexectomy, oophorectomy, endometriosis, tube ligation; * Affiliation to the social security scheme; * Signed informed consent Exclusion Criteria: * Celiosurgery such as colectomy, bariatric surgery, hysterectomy, prostatectomy, nephrectomy; * Surgical emergency; * History of chronic obstructive pulmonary disease; * Weight less than 50 kg; * Consumption of preoperative opioids; * Antidepressant treatment and/or anxiolytic treatment; * Conversion by laparotomy; * Intraperitoneal sepsis; * Major intraoperative complication (hemorrhage, anaphylaxis, etc.); * Other surgical or medical interventions planned during the study; * Patient participating in another clinical trial, or during a period of exclusion from another clinical trial; * Inability to understand information related to the study; * Woman who is pregnant or likely to be pregnant (of childbearing age, without effective contraception) or currently breastfeeding; * Patient deprived of liberty or under guardianship or curatorship or unable to give consent.

Locations (1)

Hôpital Privé Dijon Bourgogne

Dijon, France

Outcomes

Primary Outcomes

Shoulder pain at rest assessed by visual analog scale

Shoulder pain at rest (average over the last 24 hours) assessed by visual analog scale from 0 to 100mm. ANCOVA (Analysis of Covariance) analysis will be applied to compare the mean shoulder pain visual analog scal (0 to 100 mm) between the groups, adjusted to the baseline value.

Time frame: 1 day

Data from ClinicalTrials.gov

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