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long laparoscopic needle injection instrument  (KARL STORZ)

 
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    Structured Review

    KARL STORZ long laparoscopic needle injection instrument
    Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological <t> laparoscopic </t> procedures
    Long Laparoscopic Needle Injection Instrument, supplied by KARL STORZ, used in various techniques. Bioz Stars score: 90/100, based on 1 PubMed citations. ZERO BIAS - scores, article reviews, protocol conditions and more
    https://www.bioz.com/product/long+laparoscopic+needle+injection+instrument/long+laparoscopic+needle+injection+instrument/pmc06353625-3024-222-226
    Average 90 stars, based on 1 article reviews
    long laparoscopic needle injection instrument - by Bioz Stars, 2026-09
    90/100 stars

    Images

    1) Product Images from "Interventions to reduce shoulder pain following gynaecological laparoscopic procedures"

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    Journal: The Cochrane Database of Systematic Reviews

    doi: 10.1002/14651858.CD011101.pub2

    Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Diagnostic Assay, Comparison

    Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Diagnostic Assay, Comparison

    Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Diagnostic Assay, Comparison

    Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Control, Diagnostic Assay, Comparison, Saline

    Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Control, Comparison, Saline

    Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Comparison

    Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures
    Figure Legend Snippet: Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Techniques Used: Comparison, Control


    Figure Legend Snippet:

    Techniques Used: Control, Clinical Proteomics

    Related Articles

    Control:

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures
    Article Snippet: .. Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. ..

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures
    Article Snippet: Participants , 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h , . .. Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , . ..

    Injection:

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures
    Article Snippet: .. Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. ..

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures
    Article Snippet: Participants , 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h , . .. Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , . ..

    Saline:

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures
    Article Snippet: Participants , 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h , . .. Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , . ..



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    Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological <t> laparoscopic </t> procedures
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    Image Search Results


    Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Diagnostic Assay, Comparison

    Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Diagnostic Assay, Comparison

    Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Diagnostic Assay, Comparison

    Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Control, Diagnostic Assay, Comparison, Saline

    Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Control, Comparison, Saline

    Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Comparison

    Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Comparison, Control

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet:

    Article Snippet: Selective reporting (reporting bias) Unclear risk Unable to confirm given no access to protocol and unable to contact study authors Other bias Low risk No other sources of bias identified Open in a separate window Suginami 2009 Methods Study : single‐centre RCT Country : Thailand Type of surgery : elective laparoscopic surgery for gynaecological problems including TLH, myomectomy, salpingo‐oophorectomy, ovarian cystectomy, salpingectomy and adhesiolysis, performed by 4 laparoscopic surgeons Number and type of laparoscopic ports : not described Distention medium and pressures : not described Study duration : 6 months Informed consent : yes Funding sources : not described Participants 158 women randomised: 79 in intervention group, 79 in control group Participants excluded : none described Age (years, mean ± SD): intervention group: 42.2 ± 10.2, control group: 39.5 ± 8.6 BMI (kg/m 2 , mean ± SD): intervention group: 21.5 ± 3.0, control group: 22.6 ± 4.2 Ethnicity : not described Inclusion criteria Female ASA physical status classification of 1‐2 Undergoing elective gynaecological laparoscopic surgery Exclusion criteria Undergoing emergency gynaecological laparoscopic surgery Contraindications to local anaesthetic, opioids and sulphonamides Medical history of asthma, hepato‐renal and cardiovascular disease Conversion from laparoscopy to laparotomy Operating time > 3 h Interventions Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Control, Clinical Proteomics

    Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Diagnostic Assay, Comparison

    Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Diagnostic Assay, Comparison

    Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Diagnostic Assay, Comparison

    Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Control, Diagnostic Assay, Comparison, Saline

    Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Control, Comparison, Saline

    Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Comparison

    Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Comparison, Control

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet:

    Article Snippet: Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position.

    Techniques: Control, Clinical Proteomics

    Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Specific technique compared to standard technique for releasing the pneumoperitoneum for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques: Diagnostic Assay

    Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Fluid instillation compared to no fluid instillation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques: Diagnostic Assay

    Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Intraperitoneal drain compared to no intraperitoneal drain for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques: Diagnostic Assay

    Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Subdiaphragmatic intraperitoneal local anaesthetic compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques: Diagnostic Assay

    Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Local anaesthetic to peritoneal cavity (not subdiaphragmatic) compared to control for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques:

    Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Warmed, or warmed and humidified CO 2 compared to unwarmed and unhumidified CO 2 for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques:

    Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological  laparoscopic  procedures

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet: Gasless laparoscopy compared to CO 2 insufflation for the reduction of shoulder pain following gynaecological laparoscopic procedures

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques:

    Journal: The Cochrane Database of Systematic Reviews

    Article Title: Interventions to reduce shoulder pain following gynaecological laparoscopic procedures

    doi: 10.1002/14651858.CD011101.pub2

    Figure Lengend Snippet:

    Article Snippet: Interventions , Intervention : 20 mL of 0.5% bupivacaine hydrochloride plus 3 mg morphine was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. Control : 20.3 mL normal saline was injected intraperitoneally into both subdiaphragmatic surfaces by using a long laparoscopic needle injection instrument (Karl‐Storz, Germany) under direct vision with the participant in deep Trendelenburg position. CO 2 gas was removed manually from the woman's abdomen as much as possible before removing the trocars. , .

    Techniques: