Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain
| Status: | Completed |
|---|---|
| Conditions: | Orthopedic |
| Therapuetic Areas: | Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - 75 |
| Updated: | 4/2/2016 |
| Start Date: | January 2014 |
| End Date: | June 2014 |
| Contact: | Maryam Hadiashar, MD |
| Email: | maryamhad@gmail.com |
| Phone: | 4086051927 |
Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain: A Randomized Controlled Trial
The use of laparoscopy in gynecologic surgery has been well established to decrease
morbidity, blood loss, hospital stay, and post-operative pain when compared to traditional
open abdominal surgery. However, the laparoscopic technique is associated with
post-operative shoulder pain.
We hypothesize that a combination of intraperitoneal saline lavage and active suction
removal of carbon dioxide gas from the right upper quadrant of the abdomen will decrease
incidence of post-laparoscopic shoulder pain when compared to passive exsufflation of carbon
dioxide gas.
morbidity, blood loss, hospital stay, and post-operative pain when compared to traditional
open abdominal surgery. However, the laparoscopic technique is associated with
post-operative shoulder pain.
We hypothesize that a combination of intraperitoneal saline lavage and active suction
removal of carbon dioxide gas from the right upper quadrant of the abdomen will decrease
incidence of post-laparoscopic shoulder pain when compared to passive exsufflation of carbon
dioxide gas.
Inclusion Criteria:
- English speaking patient
- Female
- Age 18-75
- must undergo laparoscopic surgery
- willing to participate in the study
Exclusion Criteria:
- Male patients
- Under 18 or older than 75
- Laparoscopic procedures that get converted to laparotomy
- Intraoperative hemorrhage more than 500 cc
- Patients with active joint disease
- History of shoulder surgery
- Intraoperative laceration to the liver
- Malignancy
- Long term daily narcotic use
- Chronic right upper quadrant/ shoulder pain
- Pregnancy
- History of dementia, Alzheimers, stroke or other condition causing altered mental
status
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