Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain

University of Tennessee

Status: Unknown

Conditions: Shoulder Pain

Treatments: Procedure: Active lavage and suction

Study type: Interventional

Funder types: Other

Identifiers

NCT02004470

LAS-37405

Details and patient eligibility

About

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.

Enrollment: 100 estimated patients

Sex: Female

Ages: 18 to 75 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

100 participants in 2 patient groups

Passive exsufflation

No Intervention group

Description:

Will not actively suction carbon dioxide from abdomen. Open laparoscopic trocars and allow C02 to passively empty from abdomen.

Active lavage and suction

Experimental group

Description:

This step is already employed in many ongoing surgeries where normal saline will be used to lavage the right upper quadrant and then will be suctioned out to remove as much Carbon dioxide from the patient's abdomen and to therefore decrease postoperative pain.

Treatment:

Procedure: Active lavage and suction