Post laparoscopy pain following benign gynaecological surgery, post-surgical pain Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women aged 18 years and above 2. Scheduled for laparoscopic surgery with a benign gynaecological indication like laparoscopic cystectomy and laparoscopic salpingectomy/salpingoophorectomy at University Malaya Medical Centre 3. American Society of Anaesthesiologists (ASA) classification I-II: 3.1. ASA I is a normal healthy patient, non-smoking, no or minimal alcohol use 3.2. ASA II is a patient with mild systemic disease without substantive functional limitations (such as BMI <40 kg/m², mild lung disease, well-controlled diabetes mellitus or hypertension, current smoker, social alcohol drinker, or pregnancy)
Exclusion criteria
Exclusion criteria: 1. Conversion to laparotomy 2. Allergy to nonsteroidal anti-inflammatory drugs (NSAIDs), paracetamol, or tramadol 3. Pregnancy 4. Unable to read and sign information sheet and consent form 5. Pre-existing shoulder pain which is based on doctor and clinical report before the study 6. Intellectual disability based on doctor and clinical report 7. Allergy to Ringer’s lactate solution
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Intensity and incidence of post laparoscopic pain in the shoulder, upper abdomen, and lower abdominal area measured using a participant questionnaire with a 0-10 numerical rating scale (NRS) at 1, 2, and 3 days | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Post-operative use of analgesia collected using a participant questionnaire at 1, 2, and 3 days 2. Nausea, vomiting, and abdominal distension measured using a participant questionnaire at 1, 2, and 3 days 3. Time to pass first flatus after surgery collected using a participant questionnaire at 1, 2, and 3 days 4. Duration of hospital stay collected from patient notes at the time of discharge | — |
Countries
Malaysia