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Prevention of postlaparoscopic shoulder and upper abdominal pain: a randomized controlled trial.
- Source :
-
Obstetrics and gynecology [Obstet Gynecol] 2013 Mar; Vol. 121 (3), pp. 526-531. - Publication Year :
- 2013
-
Abstract
- Objectives: To estimate the effectiveness of combined intervention with the pulmonary recruitment maneuver and intraperitoneal normal saline infusion to reduce postlaparoscopic shoulder and upper abdominal pain.<br />Methods: Patients were randomly assigned to undergo the combined intervention (n=50) or to a control group (n=50). Postlaparoscopic shoulder pain and upper abdominal pain were evaluated at 12, 24, and 48 hours postoperatively.<br />Results: At 12, 24, and 48 hours, the incidence of laparoscopic-induced shoulder pain was lower in the intervention group (54%, 46%, and 30%, respectively) than in the control group (72%, 70%, and 50%, respectively; P=.008, P=.001, and P=.004, respectively). The number needed to treat for benefit to reduce shoulder pain incidence was six (95% confidence interval [CI], 4-21) at 12 hours, five (95% CI, 3-10) at 24 hours, and five (95% CI, 4-15) at 48 hours. The incidence of laparoscopic-induced upper abdominal pain also was lower in the intervention group (78%, 72%, and 58%, respectively) than in the control group (92%, 90%, and 70%, respectively) at 12, 24, and 48 hours postoperatively (P=.006, P=.001, and P=.077, respectively). The number needed to treat for benefit to reduce upper abdominal pain incidence was eight (95% CI, 5-24) at 12 hours and six (95% CI, 4-14) at 24 hours.<br />Conclusions: Combined intervention with the pulmonary recruitment maneuver and intraperitoneal normal saline infusion is easy to implement in daily clinical practice to significantly reduce postlaparoscopic shoulder and upper abdominal pain.
- Subjects :
- Abdominal Pain drug therapy
Abdominal Pain etiology
Adult
Aged
Analgesics, Opioid administration & dosage
Combined Modality Therapy
Female
Humans
Injections, Intraperitoneal
Meperidine administration & dosage
Middle Aged
Pain Measurement
Pain, Postoperative drug therapy
Pain, Postoperative etiology
Shoulder Pain drug therapy
Shoulder Pain etiology
Young Adult
Abdominal Pain prevention & control
Laparoscopy adverse effects
Pain, Postoperative prevention & control
Shoulder Pain prevention & control
Sodium Chloride administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 1873-233X
- Volume :
- 121
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 23635614
- Full Text :
- https://doi.org/10.1097/AOG.0b013e318283fcca