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Shoulder Tip Pain After Cesarean Section.

Tayfur Cift1, Emin Ustunyurt1, Canan Yilmaz2

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Postoperative shoulder tip pain (STP) is common after cesarean sections. Spinal anesthesia significantly reduces STP incidence and severity compared to general anesthesia.

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Area of Science:

  • Anesthesiology
  • Obstetrics
  • Pain Management

Background:

  • Shoulder tip pain (STP) is a frequent complication following cesarean sections.
  • The choice of anesthesia may influence the occurrence and intensity of postoperative STP.

Purpose of the Study:

  • To determine the incidence of STP after cesarean section.
  • To compare the frequency and severity of STP between spinal anesthesia (SA) and general anesthesia (GA).

Main Methods:

  • A randomized study involving 300 patients undergoing cesarean section.
  • Patients were assigned to either SA (n=143) or GA (n=157).
  • Postoperative STP was evaluated using the Visual Analogue Scale (VAS) at 8 and 24 hours.

Main Results:

  • The overall incidence of STP was 35.7%.
  • STP occurred less frequently in the SA group (26.6%) compared to the GA group (43.9%) (p=0.005).
  • VAS scores for STP were significantly lower at 6 and 24 hours in the SA group.

Conclusions:

  • Shoulder tip pain is a common postoperative complaint after cesarean delivery.
  • General anesthesia is associated with a higher prevalence of shoulder tip pain compared to spinal anesthesia.