NCT02811081

Effective Maneuver for Post-laparoscopic Shoulder Pain

The Effective Maneuver to Reduce Shoulder Pain After Laparoscopic Gynecologic Surgery: Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 144 (actual)
• Sponsor: Kangbuk Samsung Hospital · Academic / Other
• Sex: Female
• Age: 19 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The aim of this clinical trial is to estimate the efficacy and safety of combined intervention with the intra-peritoneal normal saline instillation and pulmonary recruitment maneuver for reducing post-laparoscopic shoulder pain.

Detailed description

Shoulder pain after laparoscopy is common and its probable mechanism is residual carbon dioxide gas after surgery. Both the intra-peritoneal normal saline instillation and pulmonary recruitment maneuver could effectively reduce post-laparoscopic shoulder pain. However, the efficacy and safety of combined intervention with normal saline instillation and pulmonary recruitment maneuver have not been investigated yet. The aim of this clinical trial is to estimate the effectiveness of combined intervention with the intra-peritoneal normal saline instillation and pulmonary recruitment maneuver for reducing post-laparoscopic shoulder pain.

Conditions

• Gynecologic Diseases

Interventions

Type	Name	Description
PROCEDURE	Passive Deflation	In the control group, residual carbon dioxide gas was evacuated by the routine method using passive exsufflation through the port site at the end of surgery.
PROCEDURE	Normal Saline Instillation	In the normal saline instillation group, in addition to the routine method, the patients were placed in the Trendelenburg position (30°), isotonic normal saline (20 ml/kg of body weight) was infused in the sub-diaphragmatic region at the end of surgery.
PROCEDURE	Normal Saline Instillation + Pulmonary Recruitment	In the combined intervention group, in addition to the routine method, the patients were placed in the Trendelenburg position (30°), and a pulmonary recruitment maneuver was performed after instillation of isotonic normal saline (20 ml/kg of body weight) in the sub-diaphragmatic region at the end of surgery.

Timeline

• Start date: 2016-06-26
• Primary completion: 2017-04-19
• Completion: 2017-07-30
• First posted: 2016-06-23
• Last updated: 2018-05-11

Locations

1 site across 1 country: South Korea