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Published on: June 25, 2013
The Effect of Postoperative Modified Trendelenburg Position to Decrease Shoulder Pain after Laparoscopic
Boonyanit Silarin1, Kamaitorn Tientong1,2
1Department of Obstetrics and Gynecology, Rajavithi Hospital, Bangkok, Thailand.
Objectives:
The objective of this study was to investigate the impact of postoperative modified Trendelenburg posture on shoulder pain after laparoscopic hysterectomy (TLH).
Materials And Methods:
Forty-six patients undergoing TLH for benign gynecologic conditions were prospectively enrolled in a randomized controlled trial with a 1:1 allocation ratio. At the postoperative ward, patients in the intervention group were placed in a modified Trendelenburg posture with a 20° inclination for 6 h, while those in the control group were maintained supine. Shoulder pain was evaluating using a Numerical Rating Scale (NRS) at intervals of 0, 6, 12, and 24 h postoperatively upon admission to the postoperative ward. Additionally, scores for upper abdominal pain, lower abdominal pain, nausea/vomiting, as well as the total consumption of rescue analgesia and antiemetic drugs within the first 24 h following surgery were recorded.
Results:
The baseline characteristics exhibited no significant differences between the two groups. Furthermore, when evaluating the NRS of shoulder pain, no statistically significant difference was observed between the two groups (P = 0.363). Additionally, no notable distinctions emerged in the scores associated with upper abdominal pain, lower abdominal pain, nausea/vomiting, or the overall usage of rescue analgesics and antiemetic medications within the initial 24 h following the surgical procedure.
Conclusion:
Implementing a modified Trendelenburg posture for a duration of 6 h after TLH did not have a significant impact on reducing shoulder discomfort.
