CompletedNot Applicable

The Effect of Postoperative Modified Trendelenburg Position to Decrease Shoulder Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial

Thailand46 participantsStarted 2022-06-30

Plain-language summary

Laparoscopic surgery is commonly used procedure in diagnostic and treatment including Hysterectomy. Post laparoscopic shoulder pain is common side effect mostly occur after surgery. Postoperative Trendelenburg position might decrease pain by reducing the mechanical pressure of CO2 on the diaphragm. Maintaining the patient in Trendelenburg for 6 hours postoperatively will decrease postoperative shoulder pain.

Who can participate

Age range

30 Years – 65 Years

Sex

FEMALE

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Female patient age between 30-65 years * American Society of Anesthesiologist (ASA) physical status I or II * Scheduled for operative laparoscopic hysterectomy with abdominal incisions measuring less than 1 cm in size * Can speak and understand Thai language Exclusion Criteria: * Pregnant women * Conversion procedure to open abdominal surgery * Patients with postoperative abdominal drainage * Surgery duration more than 3 hours * Gynecologic malignancy surgery * Patients with history of chronic shoulder pain * Patients with history of previous shoulder surgery * Inability to accurately express pain * Patients with history of Gastroesophageal reflux disease or chronic gastritis * Patients with history of cardiovascular or pulmonary disease * Patients with history of venous thrombosis * Morbid obesity BMI \> 40 kg/m2 * Patients with history of increase intracranial pressure * Patients with history of increase intraocular pressure * Patients with liver and/or kidney disease * NSAIDs and/or Paracetamol and/or Morphine allergy * Current corticosteroid use * Patients who use current analgesic drugs and don't want to quit while stay in the hospital * Psychiatric disorder * Intellectual disorder * Postoperative length in hospital less than 24 hours

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Comparison of shoulder pain score

Timeframe: at ward, 6 , 12, 24 hours after postoperative Modified Trendelenburg position for 6 hours

Trial details

NCT IDNCT05428982

SponsorDepartment of Medical Services Ministry of Public Health of Thailand

Sponsor typeOTHER_GOV

Study typeINTERVENTIONAL

Primary completion2023-08-30

View on ClinicalTrials.gov More Post Operative Pain trials