Evidence map›Paper›PMID 31996139›Full record

Trial reportBMC anesthesiology2020

Effect of postoperative Trendelenburg position on shoulder pain after gynecological laparoscopic procedures: a randomized clinical trial.

Carine Zeeni, Dina Chamsy, Ali Khalil, Antoine Abu Musa, Majed Al Hassanieh, Fadia Shebbo, Joseph Nassif

5 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT04129385 nacompletednot on this map

Effect of Postoperative Trendelenburg Position on Shoulder Pain After Gynecological Laparoscopic Procedures.

TypeinterventionalSponsorAmerican University of Beirut Medical CenterRan2016 to 2018Enrolled108ConditionsShoulder PainArms20 degree Trendelenburg position
NCT05043844 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effect of Abdominal Binder Use on Postoperative Shoulder Pain After Laparoscopic Gynecological Surgery

TypeinterventionalSponsorSeoul National University HospitalRan2021 to 2022Enrolled144ConditionsShoulder PainArmsabdominal binder
NCT05344677 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect Of Trendelenburg Position, Warm Pad Application and Deep Breathing Exercise on Shoulder Pain and Post Gynecologic Laparoscopic Recovery

TypeinterventionalSponsorAlexandria UniversityRan2022 to 2022Enrolled90ConditionsGynecologic Nursing, Postoperative PainArmsTrendelenburg Position, Warm Pad Application, Deep Breathing Exercise
NCT06069557 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Effect of Respiratory Exercises and Incentive Spirometer Use in the Early Postoperative Period on Abdominal Distension, Shoulder Pain and Mobilization Process in Laparoscopic Cholecystectomy Patients

TypeinterventionalSponsorÇanakkale Onsekiz Mart UniversityRan2023 to 2024Enrolled156ConditionsElective Laparoscopic CholecystectomyArmsRespiratory exercise
NCT06195176 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Randomized Clinical Trial: Effect of an Exercise Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy

TypeinterventionalSponsorInstituto Nacional de Perinatologia Isidro Espinosa de los ReyesRan2024 to 2025Enrolled66ConditionsPostoperative Pain, Laparoscopic Hysterectomy for Benign ConditionsArmsShoulder exercises, Hand exercises
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 25 citations in OpenAlex.

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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 1 institution in 1 country.

Carine ZeeniDepartment of Anesthesiology, American University of Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon.
Dina ChamsyDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
Ali KhalilDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
Antoine Abu MusaDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon.
Majed Al HassaniehDepartment of Anesthesiology, American University of Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon.
Fadia ShebboDepartment of Anesthesiology, American University of Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon.
Joseph NassifDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon. jn25@aub.edu.lb.ORCID 0000-0003-0937-6533
American University of Beirut Medical Center · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic surgery has become a standard of care for many gynecological surgeries due to its lower morbidity, pain and cost compared to open techniques. Unfortunately, the use of carbon dioxide (CO

methodsWe aim to assess the effect of postoperative Trendelenburg position on shoulder pain after gynecological laparoscopic procedures. We hypothesize that maintaining the patient in Trendelenburg for 24 h postoperatively will significantly decrease postoperative shoulder pain and analgesic consumption. After obtaining written informed consent, 108 patients were prospectively randomized into two groups. In the control group, patients underwent standard gynecologic laparoscopic procedures; then after passive deflation of the pneumoperitoneum at the end of the surgery, the patients were placed in supine head up position in the post anesthesia care unit (PACU) and received our institution's common postoperative care. Patients in the intervention group were subjected to the same maneuver but were positioned in a Trendelenburg position (20 °) once fully awake and cooperative in the PACU and retained this position for the first 24 h. Numerical rating scale (NRS) was used to assess shoulder pain and nausea upon patient arrival to the PACU, at 4, 6, 12 (primary outcome) and 24 h postoperatively. Time to first rescue pain medication, total rescue pain medications and overall satisfaction with pain control were recorded. 101 patients were included in the final data analysis.

resultsBoth groups were comparable in terms of baseline characteristics. NRS pain scores were significantly lower in the intervention group at 12 h compared to the control group (0 [0-1] versus 5 [1-4], p < 0.001), furthermore improvement in postoperative shoulder pain between time of arrival to PACU (time zero) and 12 h postoperatively was significantly higher in patients allocated to the experimental group compared to the control group. Pain scores were significantly lower in patients allocated to the experimental group versus the control group (0 [0-1] versus 5 [1-4], p < 0.001).

conclusionIn conclusion, Trendelenburg position is an easy non-pharmacologic intervention that is beneficial in reducing postoperative shoulder pain following gynecologic laparoscopic surgery.

trial registrationRetrospectively registered at Clinicaltrials.gov, registration number NCT04129385,  date of registration: June 28, 2019.

Indexed as

AdultFemaleGynecologic Surgical ProceduresHead-Down TiltHumansLaparoscopyPostoperative PainProspective StudiesShoulder PainTreatment OutcomeGynecological surgeryLaparoscopic surgeryShoulder painTrendelenburg position

Identifiers

PMID31996139
PMCPMC6988196
OpenAlexW3008842989

What Socratic holds

Textmetadata
LicenceCC BY
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.