Analysis of risk factors of postlaparoscopic shoulder pain.
gynecologic laparoscopy
laparoscopy
operative duration
pneumoperitoneum
shoulder pain
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
26
06
2019
accepted:
04
11
2019
pubmed:
21
1
2020
medline:
24
11
2020
entrez:
21
1
2020
Statut:
ppublish
Résumé
Postlaparoscopic shoulder pain (SP), mainly caused by pneumoperitoneum with CO We analyzed answers of questionnaire about the degree of SP from 696 patients undergoing gynecologic laparoscopic surgery since 2014-2018. The questionnaire asks the degree of SP with numeric rating scale from 0 to 10, before and 3 days after operation. We defined cases in which postoperative score elevated more than three compared to preoperative score as SP(+). Analyzed backgrounds were age, parity, body mass index, operative method, operative duration and amount of hemorrhage. Statistics was performed by Fisher exact analysis as univariate analysis, and with logistic regression as multivariate analysis. All laparoscopic surgeries were performed under 10-12 mmHg in pressure of pneumoperitoneum with CO Univariate analysis revealed categories 'less than 50 years old', and 'over 2 h' and 'over 3 h' in operative duration resulted significant high rate of SP(+). For these three factors, multivariate analysis resulted that "less than 50 years old' and 'over 3 h in operative duration' were significantly high. This study suggests that 'less than 50 years' old and 'over 3 h in operative duration' were risk factors of postlaparoscopic SP. To protect from SP after laparoscopy, some countermeasures should be necessary especially for these patients.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
310-313Informations de copyright
© 2020 Japan Society of Obstetrics and Gynecology.
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