en
1726-7536
1735-8507
69
2139
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gregorian
2018
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29850448
A New Approach to an Old Concept for Reducing Shoulder Pain Caused by Gynecological Laparoscopy
<p>Background: The purpose of this study was to introduce a technique to extract the remaining peritoneal gas in order to improve the post-laparoscopic shoulder pain. <br />
Methods: This study included 12 patients undergoing laparoscopic gynecologic procedures between February and March 2016 in Minimally Invasive Techniques Research Center, Pars Hospital, Tehran, Iran. For complete suction of the air from abdominal cavity, the air was first vacuumed from the pelvic cavity in Trendelenburg position and then the patients were put in anti-Trendelenburg position. In this position, as the remaining gas was shifting toward subdiaphragmatic area, the suction tube was shifted to a position next to the camera canal and the remaining air was suctioned. A 10 point visual analogue scale was used to measure the severity of patients’ post-operative shoulder pain.<br />
Results: The mean VAS for shoulder pain was 0.8±1.7 4 <em>hr</em> post-surgery. At 12 <em>hr</em> post-surgery, the mean VAS was 0.8±1.5. At 24 <em>hr</em> post-surgery, the mean VAS for shoulder pain was 0.3±0.8. Finally, 48 <em>hr</em> post-surgery, the VAS score for all patients was zero.<br />
Conclusion: Our approach for emptying the abdominal cavity from residual gas after laparoscopic procedures seems to be useful in preventing post-operative shoulder pain among patients undergoing gynecological laparoscopic surgeries. Further studies are suggested to compare the effect of our proposed method with other methods.</p>
Gynecology, Iran, Laparascopy, Pain, Shoulder, Surgery
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61
https://www.jri.ir/article/10012
https://www.jri.ir/documents/fullpaper/en/10012.pdf
ShahlaChaichianMinimally Invasive Techniques Research Center in Women, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, IranShahlaChaichian1185
BahramMoazzamiPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iranbahrammoazzami@gmail.com1635
AmenehHaghgooPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran11788
KouroshSheibaniBasir Research Center, Tehran, Iran1640