ArticleGynecology and minimally invasive therapy
The Effect of Postoperative Modified Trendelenburg Position to Decrease Shoulder Pain after Laparoscopic Hysterectomy: A Randomized Controlled Trial.
Article in Gynecology and minimally invasive therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
Objectives: The objective of this study was to investigate the impact of postoperative modified Trendelenburg posture on shoulder pain after laparoscopic hysterectomy (TLH). Materials and Methods: Forty-six patients undergoing TLH for benign gynecologic conditions were prospectively enrolled in a randomized controlled trial with a 1:1 allocation ratio. At the postoperative ward, patients in the intervention group were placed in a modified Trendelenburg posture with a 20° inclination for 6 h, while those in the control group were maintained supine. Shoulder pain was evaluating using a Numerical Rating Scale (NRS) at intervals of 0, 6, 12, and 24 h postoperatively upon admission to the postoperative ward. Additionally, scores for upper abdominal pain, lower abdominal pain, nausea/vomiting, as well as the total consumption of rescue analgesia and antiemetic drugs within the first 24 h following surgery were recorded. Results: The baseline characteristics exhibited no significant differences between the two groups. Furthermore, when evaluating the NRS of shoulder pain, no statistically significant difference was observed between the two groups ( Conclusion: Implementing a modified Trendelenburg posture for a duration of 6 h after TLH did not have a significant impact on reducing shoulder discomfort.
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