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Post-laparoscopic Shoulder Pain Management: A Narrative Review.

作者信息

Zhao Yan, Xin Wen, Luo Xiaohui

机构信息

Department of Anesthesiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, People's Republic of China.

出版信息

Curr Pain Headache Rep. 2025 Jan 8;29(1):18. doi: 10.1007/s11916-024-01355-y.


DOI:10.1007/s11916-024-01355-y
PMID:39775327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11711571/
Abstract

PURPOSE OF REVIEW: Post-laparoscopic shoulder pain (PLSP) can slow patient recovery and extend hospital stays, making its management crucial for patients undergoing laparoscopic surgery. Current consensus guidelines say little about how to prevent or manage PLSP. In this context, a multimodal approach to PLSP management that maybe extend beyond the pharmaceutical interventions currently employed. A variety of devices comprising both invasive and noninvasive approaches are available to patients, serving as adjuvants to analgesics. In this review, we explore the potential causes of PLSP. Additionally, by searching relevant databases and reviewing existing literature, we provide a comprehensive summary of current PLSP management strategies excluding analgesics. RECENT FINDINGS: A total of 30 articles were reviewed. The review identified a number of different treatments for PLSP, including trendelenburg position, discharge of residual gas, pulmonary recruitment manoeuvre, low-pressure pneumoperitoneum and phrenic nerve block, among others. However, the inconsistencies in the study designs resulted in disparate conclusions. While the current studies provide valuable insights, there is a clear need for further research in this area.

摘要

相似文献

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[2]
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引用本文的文献

[1]
Diaphragmatic breathing for referred pain after total laparoscopic hysterectomy: a randomized clinical trial.

Surg Endosc. 2025-8-18

[2]
Efficacy of Quadratus Lumborum Block for Postoperative Pain Management in Single-Port Total Laparoscopic Hysterectomy: A Randomized Observer-Blinded Controlled Trial.

Medicina (Kaunas). 2025-4-11

本文引用的文献

[1]
Active gas aspiration in reducing pain after laparoscopic cholecystectomy: a systematic review and meta-analysis of randomized controlled trials.

Surg Endosc. 2024-2

[2]
Comparing the effect of transcutaneous electrical nerve stimulation and massage therapy on post laparoscopic shoulder pain: a randomized clinical trial.

BMC Musculoskelet Disord. 2023-9-28

[3]
Active aspiration versus simple compression to remove residual gas from the abdominal cavity after laparoscopic cholecystectomy: a randomized clinical trial.

Langenbecks Arch Surg. 2022-8

[4]
Low-pressure versus standard-pressure pneumoperitoneum in laparoscopic cholecystectomy: a systematic review and meta-analysis of randomized controlled trials.

Surg Endosc. 2022-10

[5]
The Impact of Incentive Spirometry on Shoulder Tip Pain in Laparoscopic Cholecystectomy: A Randomized Clinical Trial.

Surg Laparosc Endosc Percutan Tech. 2021-9-27

[6]
A randomized clinical trial on the effect of a lidocaine patch on shoulder pain relief in laparoscopic cholecystectomy.

Sci Rep. 2021-1-13

[7]
High-Volume, Low-Concentration Intraperitoneal Bupivacaine Study in Emergency Laparoscopic Cholecystectomy: A Double-Blinded, Prospective Randomized Clinical Trial.

Surg Innov. 2020-10

[8]
Transcutaneous Electrical Nerve Stimulation in Relieving Neuropathic Pain: Basic Mechanisms and Clinical Applications.

Curr Pain Headache Rep. 2020-2-18

[9]
Effect of postoperative Trendelenburg position on shoulder pain after gynecological laparoscopic procedures: a randomized clinical trial.

BMC Anesthesiol. 2020-1-29

[10]
Investigating the effects of drainage by hemovac drain on shoulder pain after female laparoscopic surgery and comparison with deep breathing technique: a randomized clinical trial study.

Surg Endosc. 2020-12

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