Decreasing Upper and Shoulder Pain After Laparoscopic Surgery

Summary

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 do is that if the investigators could 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.

Conditions

• Shoulder Pain
• Nausea

Interventions

PROCEDURE

Pulmonary recruitment maneuver

A pulmonary recruitment maneuver consisting of five manual pulmonary inflations was performed with a maximum pressure of 60 cmH2O. The anesthesiologist held the fifth positive pressure inflation for approximately 5 seconds.

PROCEDURE

Intraperitoneal normal saline infusion

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

PROCEDURE

combined group

The upper part of the abdominal cavity was evenly and bilaterally filled with the 0.9% normal saline in the amount of 500cc. Later, a pulmonary recruitment maneuver consisting of five manual pulmonary inflations was performed with a maximum pressure oof 60 cmH2O.

PROCEDURE

Control group

Co2 was removed by passive exsufflation through the port site.

Sponsors & Collaborators

• National Yang Ming Chiao Tung University

  collaborator OTHER

• Taipei Veterans General Hospital, Taiwan

  lead OTHER_GOV

Principal Investigators

• Hsiao-Wen Tsai, M.D. · Taipei Veterans General Hospital, Taiwan

• Yi-Jen Chen, M.D., Ph D. · Taipei Veterans General Hospital, Taiwan

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

80 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2011-02-28

Primary Completion

2012-12-31

Completion

2012-12-31

Countries

• Taiwan

Study Locations