Hsiao-Wen Tsai1, Peng-Hui Wang, Ming-Shyen Yen, Kuan-Chong Chao, Teh-Fu Hsu, Yi-Jen Chen. 1. Department of Obstetrics and Gynecology, the Immunology Center, and the Department of Emergency Medicine, Taipei Veterans General Hospital, and the School of Medicine, the Institute of Clinical Medicine, and the Infection and Immunity Research Center, National Yang-Ming University, Taipei, Taiwan.
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. 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. 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. 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.
RCT Entities:
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. 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. 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. 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.
Authors: Ailbhe M McDermott; Kah Hoong Chang; Kelly Mieske; Peter F McAnena; Brian Kinirons; Abdelaly Abeidi; Brian H Harte; Michael J Kerin; Oliver J McAnena Journal: World J Surg Date: 2015-07 Impact factor: 3.352
Authors: J E W van Dijk; S J Dedden; P M A J Geomini; P Meijer; N van Hanegem; M Y Bongers Journal: BMC Womens Health Date: 2017-06-13 Impact factor: 2.809
Authors: Jung Eun Kim; Seung-Hyuk Shim; Meari Dong; Hyojin Lee; Han Sung Hwang; Han Sung Kwon; Sun Joo Lee; Ji Young Lee; In Sook Sohn; Soo-Nyung Kim; Soon-Beom Kang Journal: Obstet Gynecol Sci Date: 2017-09-18