Status:
COMPLETED
The Effect of Postoperative Modified Trendelenburg Position to Decrease Shoulder Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial
Lead Sponsor:
Department of Medical Services Ministry of Public Health of Thailand
Conditions:
Post Operative Pain
Shoulder Pain
Eligibility:
FEMALE
30-65 years
Phase:
NA
Brief Summary
Laparoscopic surgery is commonly used procedure in diagnostic and treatment including Hysterectomy. Post laparoscopic shoulder pain is common side effect mostly occur after surgery. Postoperative Tren...
Detailed Description
After laparoscopic hysterectomy surgery, Patients in intervention group were positioned in a Modified Trendelenburg position (20 °) postoperative for 6 hours because of the limitation of this study ca...
Eligibility Criteria
Inclusion
- Female patient age between 30-65 years
- American Society of Anesthesiologist (ASA) physical status I or II
- Scheduled for operative laparoscopic hysterectomy with abdominal incisions measuring less than 1 cm in size
- Can speak and understand Thai language
Exclusion
- Pregnant women
- Conversion procedure to open abdominal surgery
- Patients with postoperative abdominal drainage
- Surgery duration more than 3 hours
- Gynecologic malignancy surgery
- Patients with history of chronic shoulder pain
- Patients with history of previous shoulder surgery
- Inability to accurately express pain
- Patients with history of Gastroesophageal reflux disease or chronic gastritis
- Patients with history of cardiovascular or pulmonary disease
- Patients with history of venous thrombosis
- Morbid obesity BMI \> 40 kg/m2
- Patients with history of increase intracranial pressure
- Patients with history of increase intraocular pressure
- Patients with liver and/or kidney disease
- NSAIDs and/or Paracetamol and/or Morphine allergy
- Current corticosteroid use
- Patients who use current analgesic drugs and don't want to quit while stay in the hospital
- Psychiatric disorder
- Intellectual disorder
- Postoperative length in hospital less than 24 hours
Key Trial Info
Start Date :
June 30 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 30 2023
Estimated Enrollment :
46 Patients enrolled
Trial Details
Trial ID
NCT05428982
Start Date
June 30 2022
End Date
August 30 2023
Last Update
November 18 2023
Active Locations (1)
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1
Rajavithi Hospital
Bangkok, Thailand, 10400