Reduction of Pain Following Laparoscopic Surgery: A Double Blind Prospective Randomized Controlled Trial
NCT01720433 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 127
Last updated 2012-11-02
Summary
Shoulder tip and abdominal pain following laparoscopic procedures are well recognized as causes of post-operative morbidity. This prospective, double-blind, randomized controlled trial attempts to reduce post-operative pain in patients undergoing laparoscopic surgery by implementing a simple intra-operative technique.
Patients who undergo elective laparoscopic cholecystectomy for gallbladder disease or laparoscopic inguinal hernia repair will be recruited to the trial. Patients will be randomized to either the current standard (control group) or to receive an intervention to remove residual CO2. In the intervention group the pneumo-peritoneum will be removed, at the end of the operation, by placing the patient in the Trendelenburg position and utilising a pulmonary recruitment maneuver consisting of two manual inflations to a maximum pressure of 60 cm H2O. In the control group residual pneumo-peritoneum will be evacuated at the end of the procedure by passive decompression via the open operative ports.
Conditions
- Post-operative Pain
Interventions
- PROCEDURE
-
intervention
The patient was placed in the Trendelenburg position (30°) and two manual lung inflations to a maximum pressure of 60 cm H2O for five seconds, with the valves on the operative ports fully open.
Sponsors & Collaborators
-
Northampton General Hospital NHS Trust
lead OTHER
Principal Investigators
-
Achal Khanna, MRCSEd · Northampton General Hospital Northampton England
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2010-08-31
- Primary Completion
- 2012-02-29
- Completion
- 2012-02-29
Countries
- United Kingdom
Study Locations
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