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The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients

Postlaparoscopic shoulder pain (PLSP) is a common clinical problem that needs to be addressed by medical professionals who are currently perform laparoscopic surgeries. The purpose of this study was to determine the perioperative clinical factors and demographic characteristics associated with PLSP....

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Autores principales: Li, Xin You, Tian, Ming, Li, Ai Zhi, Han, Chun Lei, Li, Ke Zhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238963/
https://www.ncbi.nlm.nih.gov/pubmed/34183708
http://dx.doi.org/10.1038/s41598-021-92762-3
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author Li, Xin You
Tian, Ming
Li, Ai Zhi
Han, Chun Lei
Li, Ke Zhong
author_facet Li, Xin You
Tian, Ming
Li, Ai Zhi
Han, Chun Lei
Li, Ke Zhong
author_sort Li, Xin You
collection PubMed
description Postlaparoscopic shoulder pain (PLSP) is a common clinical problem that needs to be addressed by medical professionals who are currently perform laparoscopic surgeries. The purpose of this study was to determine the perioperative clinical factors and demographic characteristics associated with PLSP. A prospective observational study was performed with 442 inpatients undergoing laparoscopic surgery for infertility. The pain visual analogue scale was used as the measuring instrument. To identify the predictors of PLSP, we performed multivariate conditional logistic regression. PLSP was correlated with body mass index (BMI, odds ratio = 0.815). The incidence of shoulder pain and more severe shoulder pain in patients with a lower BMI was significantly higher than it was in patients with a higher BMI, and BMI was significantly negatively correlated with PLSP. Most of the patients (95%) began to experience shoulder pain on the first postoperative day, and it rarely occurred on the day of surgery. Patients with lower BMI presented a higher risk of reporting shoulder pain on the first postoperative day. We should identify high-risk patients in advance and make specific treatment plans according to the characteristics of their symptoms.
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spelling pubmed-82389632021-07-06 The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients Li, Xin You Tian, Ming Li, Ai Zhi Han, Chun Lei Li, Ke Zhong Sci Rep Article Postlaparoscopic shoulder pain (PLSP) is a common clinical problem that needs to be addressed by medical professionals who are currently perform laparoscopic surgeries. The purpose of this study was to determine the perioperative clinical factors and demographic characteristics associated with PLSP. A prospective observational study was performed with 442 inpatients undergoing laparoscopic surgery for infertility. The pain visual analogue scale was used as the measuring instrument. To identify the predictors of PLSP, we performed multivariate conditional logistic regression. PLSP was correlated with body mass index (BMI, odds ratio = 0.815). The incidence of shoulder pain and more severe shoulder pain in patients with a lower BMI was significantly higher than it was in patients with a higher BMI, and BMI was significantly negatively correlated with PLSP. Most of the patients (95%) began to experience shoulder pain on the first postoperative day, and it rarely occurred on the day of surgery. Patients with lower BMI presented a higher risk of reporting shoulder pain on the first postoperative day. We should identify high-risk patients in advance and make specific treatment plans according to the characteristics of their symptoms. Nature Publishing Group UK 2021-06-28 /pmc/articles/PMC8238963/ /pubmed/34183708 http://dx.doi.org/10.1038/s41598-021-92762-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Li, Xin You
Tian, Ming
Li, Ai Zhi
Han, Chun Lei
Li, Ke Zhong
The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
title The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
title_full The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
title_fullStr The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
title_full_unstemmed The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
title_short The risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
title_sort risk of shoulder pain after laparoscopic surgery for infertility is higher in thin patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238963/
https://www.ncbi.nlm.nih.gov/pubmed/34183708
http://dx.doi.org/10.1038/s41598-021-92762-3
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