Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain
NCT ID: NCT02004470
Last Updated: 2014-01-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
100 participants
INTERVENTIONAL
2014-01-31
2014-06-30
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Passive exsufflation
Will not actively suction carbon dioxide from abdomen. Open laparoscopic trocars and allow C02 to passively empty from abdomen.
No interventions assigned to this group
Active lavage and suction
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.
Active lavage and suction
Active lavage and suction of the right upper quadrant will be performed as the laparoscopic procedure is about to be terminated.
Interventions
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Active lavage and suction
Active lavage and suction of the right upper quadrant will be performed as the laparoscopic procedure is about to be terminated.
Eligibility Criteria
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Inclusion Criteria
* Female
* Age 18-75
* must undergo laparoscopic surgery
* willing to participate in the study
Exclusion Criteria
* 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
18 Years
75 Years
FEMALE
Yes
Sponsors
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University of Tennessee
OTHER
Responsible Party
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Principal Investigators
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Maryam Hadiashar, MD
Role: PRINCIPAL_INVESTIGATOR
University of Tennessee Chattanooga College of Medicine
Locations
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Erlanger Medical Center
Chattanooga, Tennessee, United States
Memorial Hospital
Chattanooga, Tennessee, United States
Parkridge East Hospital
Chattanooga, Tennessee, United States
Erlanger East Hospital
Chattanooga, Tennessee, United States
Countries
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Central Contacts
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References
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Tsai HW, Chen YJ, Ho CM, Hseu SS, Chao KC, Tsai SK, Wang PH. Maneuvers to decrease laparoscopy-induced shoulder and upper abdominal pain: a randomized controlled study. Arch Surg. 2011 Dec;146(12):1360-6. doi: 10.1001/archsurg.2011.597.
Tsai HW, Wang PH, Yen MS, Chao KC, Hsu TF, Chen YJ. Prevention of postlaparoscopic shoulder and upper abdominal pain: a randomized controlled trial. Obstet Gynecol. 2013 Mar;121(3):526-531. doi: 10.1097/AOG.0b013e318283fcca.
Phelps P, Cakmakkaya OS, Apfel CC, Radke OC. A simple clinical maneuver to reduce laparoscopy-induced shoulder pain: a randomized controlled trial. Obstet Gynecol. 2008 May;111(5):1155-60. doi: 10.1097/AOG.0b013e31816e34b4.
Other Identifiers
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LAS-37405
Identifier Type: -
Identifier Source: org_study_id
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