This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Maneuvers to decrease laparoscopy-induced shoulder and upper abdominal pain. A randomized controlled study. Arch Surg 2011; 146: 1360–1366.

Published: 30th April 2012

Authors: Tsai H-W, Chen Y-J, Ho C-M, Hseu S-S, Chao K-C, Tsai S-K et al. et al.

Conclusion

Two methods were used to help carbon dioxide removal after laparoscopy in 158 procedures: pulmonary recruitment and intraperitoneal saline infusion. Compared to a control group, both methods reduced the rate of abdominal pain for up to 48h, but saline infusion also reduced shoulder tip pain (P<0.001).

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