Benign gynecological diseases
Conditions
Interventions
Group A:Standard technique for abdominal pressure to expel gas
Group C:pulmonary recruitment
Group B:active abdominal aspiration
Group D:pulmonary recruitment combined with active abdominal gas aspiration
Sponsors
Suining central hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Patients with benign gynecological diseases undergoing single-port laparoscopic surgery (such as ovarian cyst removal, myomectomy, total hysterectomy, etc.); 2. Age 18-65 years, BMI 18-30 kg/m²; 3. ASA : I-II; 4. Obtain the patient's and their family's consent and have them sign this informed consent form for the experimental study.
Exclusion criteria
Exclusion criteria: 1. Allergic to any medication used in the study; 2. BMI > 30 kg/m²; 3.Anticipated difficult airway, high risk of reflux and aspiration; 4. Severe preoperative organ dysfunction (such as severe cardiac dysfunction with EF<50%); 5. Pre-existing chronic pain or shoulder disorders; 6. History of previous lung surgery, as well as lung diseases such as emphysema or pneumothorax; 7. Long-term use of painkillers before surgery; 8. Patients with communication disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of postoperative shoulder pain ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative shoulder pain VAS score;Subdiaphragmatic residual gas volume score;Time to first postoperative analgesic and total usage;Patient satisfaction;Duration of surgery;Total intraoperative CO2 delivery;Length of hospital stay; | — |
Countries
China
Contacts
Public ContactFang Xu
Suining central hospital
Outcome results
None listed