Findings

What do systematic reviews say?

6 questions · 6 findings · 1 reviews · Gynaecology and Fertility

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 2 · 33.3%High 0 · 0%

Specific technique vs standard techniques

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Specific technique showed no clear difference in incidence of STP at 24 hours post‐operatively compared with standard technique (low certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.87 [0.41, 1.82]
1 study · 118 participants
Low

Subdiaphragmatic intraperitoneal local anaesthetic vs control

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Subdiaphragmatic intraperitoneal local anaesthetic showed no clear difference in incidence of STP at 24 hours post‐operatively compared with control (moderate certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.72 [0.42, 1.23]
4 studies · 336 participants
Moderate

Fluid instillation vs no fluid instillation

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Fluid instillation probably leads to lower incidence of STP at 24 hours post‐operatively compared with no fluid instillation (moderate certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.38 [0.22, 0.66]
2 studies · 220 participants
Moderate

Intraperitoneal drain vs no intraperitoneal drain

Incidence of STP at 24 hours post‐operatively · women undergoing a diagnostic or operative laparoscopic gynaecological procedure

Intraperitoneal drain may leads to lower incidence of STP at 24 hours post‐operatively compared with no intraperitoneal drain (low certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.3 [0.2, 0.46]
3 studies · 417 participants
Low

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) vs control

Incidence of STP within 4‐8 hours post‐operatively · women undergoing gynaecological laparoscopic procedures

Local anaesthetic to peritoneal cavity (not subdiaphragmatic) may leads to lower incidence of STP within 4‐8 hours post‐operatively compared with control (low certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.23 [0.06, 0.93]
2 studies · 157 participants
Low

Warmed, or warmed and humidified CO2 vs unwarmed and unhumidified CO2

Incidence of STP within 24‐48 hours post‐operatively · women undergoing gynaecological laparoscopic procedures

Warmed, or warmed and humidified CO2 showed no clear difference in incidence of STP within 24‐48 hours post‐operatively compared with unwarmed and unhumidified CO2 (low certainty).

1 finding from 1 review

Interventions to reduce shoulder pain following gynaecological laparoscopic procedures 2019 · Cochrane Headline outcomes only
OR 0.81 [0.45, 1.49]
2 studies · 194 participants
Low