Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Outcomes
2.3. Procedure
2.4. Maneuver
2.5. Sample Size Calculation
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristic | Group 1. Shoulder Movement Routine (n = 36) | Group 2. Control Group, Hand Movement Routine (n = 39) | p |
---|---|---|---|
Age (years) | 41.5 (38–47) | 41 (38–47) | 0.96 * |
Body mass index (kg/m2) | 29.7 (25.9–31.1) | 28.4 (26.3–34.4) | 0.52 * |
Duration of surgery (minutes) | 130 (90–180) | 128 (100–163) | 0.79 * |
CO2 pressure (mmHg) | 15 (14–15) | 15 (14–15) | 0.44 * |
Bleeding (mL) | 150 (100–200) | 100 (50–200) | 0.50 * |
Number of trocars | 4 (3–4) | 4 (3–4) | 0.82 * |
Postoperative in-hospital stay (hours) | 24 (21–28) | 23 (21–26) | 0.08 * |
Comorbidities | 13 (33%) | 8 (22.2%) | 0.28 ** |
Preoperative hemoglobin | 12.1 (11.2–12.8) | 11.9 (11.1–12.9) | 0.95 * |
Systolic blood pressure | 117(113–119) | 120 (116–122) | 0.25 * |
Diastolic blood pressure | 80 (70–85) | 80 (70–80) | 0.81 * |
Heart rate | 78 (70–84) | 75 (72–82) | 0.40 * |
Respiratory rate | 19 (18–22) | 20 (18–22) | 0.60 * |
Chronic pain syndrome | 1 (2.6%) | 1 (2.8%) | 0.55 & |
Use of rescue analgesia | 0 (0%) | 2 (5.6%) | 0.49 & |
Use of postsurgical drainage | 8 (20.5%) | 48(22.2%) | 0.85 ** |
Characteristic | Group 1. Shoulder Movement Routine (n = 36) | Group 2. Control Group, Hand Movement Routine (n = 39) | p * |
---|---|---|---|
Routines performed | 9 (8–11) | 9 (7–10) | 0.78 * |
Shoulder pain at 0 h | 0 (0–0) | 0 (0–0) | 0.99 * |
Shoulder pain at 6 h | 3 (2–5) | 4 (1–5) | 0.57 * |
Shoulder pain at 24 h | 1 (0–4) | 2 (0–4) | 0.69 * |
Shoulder pain at 7 days | 0 (0–0) | 0 (0–0) | 0.91 * |
Incision pain at 6 h | 4 (3–6) | 5 (3–6) | 0.73 * |
Incision pain at 24 h | 3 (2–4) | 3 (2–4) | 0.94 * |
Incision pain at 7 days | 0 (0–0) | 0 (0–0) | 0.92 * |
Abdominal pain at 6 h | 4 (3–5) | 4 (3–5) | 0.83 * |
Abdominal pain at 24 h | 3 (2–4) | 2 (1–3) | 0.28 * |
Abdominal pain at 7 days | 0 (0–0) | 0 (0–0) | 0.41 * |
n = 36 | Pain at 6 h | Pain at 24 h | Pain at 7 Days | 6 h to 24 h p * | 6 h to 7 Days p * | 24 h to 7 Days p * |
---|---|---|---|---|---|---|
Shoulder Pain | 3 (2–5) | 1 (0–4) | 0 (0–0) | 0.001 | 0.001 | 0.001 |
Incisional Pain | 4 (3–6) | 3 (2–4) | 0 (0–0) | 0.001 | 0.001 | 0.001 |
Abdominal Pain | 4 (3–5) | 3 (2–4) | 0 (0–0) | 0.001 | 0.001 | 0.001 |
n = 39 | Pain at 6 h | Pain at 24 h | Pain at 7 Days | 6 h to 24 h p * | 6 h to 7 Days p * | 24 h to 7 Days p * |
---|---|---|---|---|---|---|
Shoulder Pain | 4 (1–5) | 2 (0–4) | 0 (0–0) | 0.001 | 0.001 | 0.001 |
Incisional Pain | 5 (3–6) | 3 (2–4) | 0 (0–0) | 0.001 | 0.001 | 0.001 |
Abdominal Pain | 4 (3–5) | 2 (1–4) | 0 (0–0) | 0.001 | 0.001 | 0.001 |
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Olguín-Ortega, A.; Palacios-Cruz, L.; Rendón-Molina, A.; Cruz-Orozco, O.; Sánchez-Ramírez, B.; Estrada-Rivera, S.F.; Silvestri-Tomassoni, J.R.; Arteaga-Gómez, A.C.; Reyes-Muñoz, E. Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial. Medicina 2024, 60, 1478. https://doi.org/10.3390/medicina60091478
Olguín-Ortega A, Palacios-Cruz L, Rendón-Molina A, Cruz-Orozco O, Sánchez-Ramírez B, Estrada-Rivera SF, Silvestri-Tomassoni JR, Arteaga-Gómez AC, Reyes-Muñoz E. Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial. Medicina. 2024; 60(9):1478. https://doi.org/10.3390/medicina60091478
Chicago/Turabian StyleOlguín-Ortega, Andrea, Lino Palacios-Cruz, Alejandro Rendón-Molina, Oliver Cruz-Orozco, Brenda Sánchez-Ramírez, Silvia Fabiola Estrada-Rivera, José Roberto Silvestri-Tomassoni, Ana Cristina Arteaga-Gómez, and Enrique Reyes-Muñoz. 2024. "Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial" Medicina 60, no. 9: 1478. https://doi.org/10.3390/medicina60091478