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

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

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

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

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

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

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