Maneuvers to Decrease Laparoscopy-Induced Shoulder and Upper Abdominal Pain
作者： Hsiao-Wen Tsai
DOI: 10.1001/ARCHSURG.2011.597
关键词: Upper abdominal pain 、 Surgery 、 Laparoscopic surgery 、 Randomized controlled trial 、 Infusion Procedure 、 Anesthesia 、 Abdomen 、 Medicine 、 Abdominal cavity 、 Laparoscopy 、 Abdominal pain
摘要: Objective To evaluate the effectiveness of pulmonary recruitment maneuver (PRM) and intraperitoneal normal saline infusion (INSI) in removing postlaparoscopic carbon dioxide from abdominal cavity to decrease laparoscopy-induced or shoulder pain after surgery. Design, Setting, Patients A prospective, randomized, controlled trial was conducted at Taipei Veterans General Hospital, Taipei, Taiwan, August 1, 2009, through June 30, 2010. One hundred fifty-eight women undergoing laparoscopic surgery for benign gynecologic lesions were randomly assigned 3 groups: PRM group (n = 53), INSI (n = 54), control (n = 51). Interventions Postoperative maneuvers included INSI. Main Outcome Measures Evaluation pain, including performed 12, 24, 48 hours postoperatively. Results The frequency postoperative 24 significantly decreased compared with that either (40.7% 24.1% vs 66.0% 50.9% [P = .009 .004, respectively] 72.5% 54.9% [both P Conclusions Both could effectively reduce surgery, but might be better both upper pain. Trial Registration clinicaltrials.gov Identifier: NCT01135836
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