Evidence map›Paper›PMID 31517775›Full record

ReviewJournal of the Chinese Medical Association : JCMA2019

Pain after laparoscopic surgery: Focus on shoulder-tip pain after gynecological laparoscopic surgery.

Chih-Hsuan Sao, Mareesol Chan-Tiopianco, Kai-Cheng Chung, Yi-Jen Chen, Huann-Cheng Horng, Wen-Ling Lee, Peng-Hui Wang

4 registry-linked trialsOpen access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of the Chinese Medical Association : JCMA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
9.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04514887 nacompletednot on this map

Intraoperative Mild Hyperventilation as an Intervention to Decrease the Incidence of Postoperative Shoulder Pain After Gastric Sleeve Bypass Surgery

TypeinterventionalSponsorJordan University of Science and TechnologyRan2019 to 2020Enrolled100ConditionsLaparoscopic Gastric Sleeve Surgery, ASA-I and II Risk Class Patients, Same SurgeonArmsmild intraoperative hyperventilation
NCT05535491 nacompletednot on this map

The Effection Pain and Anxiety of a Breathing Exercise Applied Following Laparoscopic Cholecystectomy: A Randomized Controlled Study

TypeinterventionalSponsorKırklareli UniversityRan2018 to 2020Enrolled74ConditionsAnxiety, PainArmsEducational and Research Hospital
NCT06616441 phase3completednot on this mapstarted 2023, after this paper: background citation

The Effect of Intraperitoneal Instillation of Bupivacaine on Postoperative Pain After Surgical Laparoscopy

TypeinterventionalSponsorEl Shatby University Hospital for Obstetrics and GynecologyRan2023 to 2024Enrolled80ConditionsPost Operative PainArmsBupivacaine
NCT07299656 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Outcome of Active Aspiration Versus Simple Compression to Remove Residual Gas From Abdominal Cavity in Reducing Pain After Laparoscopic Cholecystectomy

TypeinterventionalSponsorKing Edward Medical UniversityRan2025 to 2027Enrolled62ConditionsShoulder Pain, Abdominal Pain (AP)ArmsGroup A (Active Aspiration), simple compression
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Chih-Hsuan SaoDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Mareesol Chan-TiopiancoDepartment of Obstetrics and Gynecology, San Lazaro Hospital, Manila, Philippines.
Kai-Cheng ChungDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Yi-Jen ChenDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Huann-Cheng HorngDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Wen-Ling LeeDepartment of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan, ROC.
Peng-Hui WangDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Taipei Veterans General Hospital · TWCheng Hsin General Hospital · TWChina Medical University Hospital · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopy, one of minimally invasive procedures, is a commonly used procedure in diagnosis and management of various kinds of clinical problems, including gynecologic organ-related diseases. Compared with conventional exploratory laparotomy, the benefits of laparoscopic surgery include reduction of surgical wound, decreasing in postoperative pain, shortening hospital stay, rapid recovery, and a better cosmetic result. However, there are still up to 80% of patients after laparoscopic surgery complaining of high levels of pain and needing pain relief. Postlaparoscopic pain can be separated into distinct causes, such as surgical trauma- or incision wound-associated inflammatory change, and pneumoperitoneum (carbon dioxide [CO2])-related morphological and biochemical changes of peritoneum and diaphragm. The latter is secondary to irritation, stretching, and foreign body stimulation, leading to phrenic neuropraxia and subsequent shoulder-tip pain (STP). STP is the most typical unpleasant experience of patients after laparoscopic surgery. There are at least 11 strategies available to attempt to decrease postlaparoscopic STP, including (1) the use of an alternative insufflating gas in place of CO2, (2) the use of low-pressure pneumoperitoneum in place of standard-pressure pneumoperitoneum, (3) the use of warmed or warmed and humidified CO2, (4) gasless laparoscopy, (5) subdiaphragmatic intraperitoneal anesthesia, (6) local intraperitoneal anesthesia, (7) actively expelling out of gas, (8) intraperitoneal drainage, (9) fluid instillation, (10) pulmonary recruitment maneuvers, and (11) others and combination. The present article is limited in discussing postlaparoscopic STP. We extensively review published articles to provide a better strategy to reduce postlaparoscopic STP.

Indexed as

AnesthesiaDrainageFemaleGynecologic Surgical ProceduresHumansLaparoscopyPneumoperitoneum, ArtificialPositive-Pressure RespirationPostoperative PainShoulder Pain

Identifiers

PMID31517775
PMCPMC13048126
OpenAlexW2987649704

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.