Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial

被引:0
|
作者
Olguin-Ortega, Andrea [1 ,2 ]
Palacios-Cruz, Lino [3 ]
Rendon-Molina, Alejandro [1 ]
Cruz-Orozco, Oliver [1 ]
Sanchez-Ramirez, Brenda [1 ]
Estrada-Rivera, Silvia Fabiola [1 ]
Silvestri-Tomassoni, Jose Roberto [1 ]
Arteaga-Gomez, Ana Cristina [4 ]
Reyes-Munoz, Enrique [5 ]
机构
[1] Inst Nacl Perinatol Isidro Espinosa los Reyes, Dept Gynecol, Montes Urales 800, Mexico City 11000, Mexico
[2] Univ Anahuac Mexico, Fac Ciencias Salud, Campus Norte Ave Univ Anahuac 46, Huixquilucan 52786, Mexico
[3] Inst Nacl Psiquiatria Dr Ramon Fuente Muniz, Dept Clin Epidemiol, Calzada Mex-Xochimilco 101, Mexico City 14370, Mexico
[4] Inst Nacl Perinatol Isidro Espinosa los Reyes, Gen Direct, Montes Urales 800, Mexico City 11000, Mexico
[5] Inst Nacl Perinatol Isidro Espinosa los Reyes, Res Div, Montes Urales 800, Mexico City 11000, Mexico
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 09期
关键词
laparoscopy hysterectomy; shoulder pain; postoperative pain; shoulder movement; PULMONARY RECRUITMENT MANEUVER; SURGERY; PRESSURE; MOBILIZATION; THERAPY;
D O I
10.3390/medicina60091478
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Postoperative shoulder pain is a common issue after total laparoscopic hysterectomy (TLH). This study evaluated the impact of a shoulder movement routine on postoperative shoulder pain in women undergoing uncomplicated TLH. Materials and Methods: An open-label randomized clinical trial included women without prior shoulder pain undergoing TLH between 20 January and 20 March 2024. Participants were randomized into two groups: Group 1 (n = 36) received a shoulder movement routine, while Group 2 (control, n = 39) performed a hand movement routine. Shoulder pain was assessed using the visual analog scale (VAS) at 6 h, 24 h, and 7 days postoperatively. Results: Seventy-five women participated. No significant differences were found between the groups regarding demographic variables, surgery duration, or hospital stay. Shoulder pain scores (VAS) at three time points (6 h, 24 h, and 7 days) showed no significant differences between groups (p = 0.57, p = 0.69, and p = 0.91, respectively). Similarly, there were no significant differences in incisional or abdominal pain. Conclusions: The shoulder movement routine did not significantly reduce postoperative shoulder pain in women undergoing uncomplicated TLH.
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页数:12
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