The Effect of Postoperative Modified Trendelenburg Position to Decrease Shoulder Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial
NCT ID: NCT05428982
Last Updated: 2023-11-18
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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COMPLETED
NA
46 participants
INTERVENTIONAL
2022-06-30
2023-08-30
Brief Summary
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Detailed Description
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A modified Trendelenburg position is head and trunk of patient were in neutral position while hips and lower extrimities were raised at 20 degree.
In control group were in neutral position. All patients were asked shoulder pain score at ward, 6 , 12, 24 hours after postoperative Modified Trendelenburg position for 6 hours
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Postoperative Modified Trendelenburg group
Patients underwent the laparoscopic hysterectomy were positioned in a Modified Trendelenburg position (20 °) postoperative for 6 hours
Postoperative Modified Trendelenburg position
Patients underwent the laparoscopic hysterectomy were positioned in a Modified Trendelenburg position (20 °) postoperative for 6 hours at ward.
Control
Patients underwent the laparoscopic hysterectomy were positioned in a neutral position
No interventions assigned to this group
Interventions
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Postoperative Modified Trendelenburg position
Patients underwent the laparoscopic hysterectomy were positioned in a Modified Trendelenburg position (20 °) postoperative for 6 hours at ward.
Eligibility Criteria
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Inclusion Criteria
* 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 Criteria
* 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
30 Years
65 Years
FEMALE
Yes
Sponsors
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Department of Medical Services Ministry of Public Health of Thailand
OTHER_GOV
Responsible Party
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Locations
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Rajavithi Hospital
Bangkok, , Thailand
Countries
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Other Identifiers
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65055
Identifier Type: -
Identifier Source: org_study_id
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