Title of the Congress : |
Gynecology, Obstetrics and Infertility 2017 Barcelona |
Title of your Abstract : |
Preoperative Gabapentin to Prevent Postoperative Shoulder Pain after Laparoscopic Ovarian Cystectomy: A Randomized Clinical Trial |
Destination Country : |
Spain |
From : |
Thursday, August 17, 2017 |
To : |
Friday, August 18, 2017 |
Abstract(Please copy/paste the abstract send to the congress) : |
Preoperative Gabapentin to Prevent Postoperative Shoulder Pain after Laparoscopic Ovarian Cystectomy: A Randomized Clinical Trial
Mehrnaz Valadan 1 ; Sakineh Banifatemi 1 ; Fardin Yousefshahi 2; Pouya Bandegi3
1 Obstetrics and Gynecology Department, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran
2 Anesthesiology and Critical Care Department, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran
3 McGill University, Montreal, Canada
Background: Patients undergoing gynecology laparoscopy frequently experience shoulder pain as a common postoperative complication. Considering diaphragm stimulation in its pathophysiology, there are some advice to prevent or control this special form of referral pain.
Objectives: The current study aimed to assess the prophylactic effect of preoperative administration of oral gabapentin to prevent Post Laparoscopic Shoulder Pain (PLSP) after laparoscopic ovarian cystectomy.
Patients and Methods: In a randomized, double blind, placebo controlled trial 40 female patients who were candidates to have elective laparoscopic ovarian cystectomy, received uniformed capsules containing gabapentin 600 mg or placebo 30 minutes before anesthesia induction. All patients had the American Society of Anesthesiologists (ASA) Physical Status of I-II and none had pervious abdominal surgery. Thereafter, the presence of side effects and PLSP and its severity was assessed by Visual Analog Scale (VAS) in the beginning of surgery and 2, 6, 12 hours after the surgery.
Results: Comparing the gabapentin (n = 20) and placebo (n = 20) groups, basic characteristics including age (P = 0.446), Body Mass Index (BMI) (P = 0.876), pregnancy history (P = 0.660), and surgery time (P = 0.232) were statistically similar. PLSP occurrence was less frequent in the gabapentin group (45%) compared with the placebo group (75%) (P = 0.053), while In gabapentin group the VAS scores were lower in 2(P = 0.004), 6 (P = 0.132), and 12 (P = 0.036) hours, post operatively.
Conclusions: Prophylactic gabapentin administration could be considered as an effective and safe intervention to reduce occurrence and severity of PLSP after gynecologic laparoscopic cystectomy.
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Keywords of your Abstract : |
Preoperative Gabapentin, Postoperative Shoulder Pain, Laparoscopic Ovarian Cystectomy |
Acceptance Letter : |
http://gsia.tums.ac.ir/images/UserFiles/28861/Forms/762/acceptance gabapentin_3.pdf |
The presentation : |
Oral |
The Cover of Abstract book : |
http://gsia.tums.ac.ir/images/UserFiles/28861/Forms/762/Barcelona-Spain-Aug-17-18,--2017,-19-(8)original_2.pdf |
Published abstract in the abstract book with the related code : |
http://gsia.tums.ac.ir/images/UserFiles/28861/Forms/762/Barcelona-Spain-Aug-17-18,--2017,-19-(8)original_3.pdf |
Where has your abstract been indexed? : |
none |
If you choose other, please name : |
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