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The use of a peritoneal gas drain following gynecological laparoscopy: a systematic review.

Eur J Obstet Gynecol Reprod Biol. 2014 Apr 18. doi:pii: S0301-2115(14)00221-8. 10.1016/j.ejogrb.2014.04.012. [Epub ahead of print] Review.

Craciunas L1, Stirbu L2, Tsampras N3.
1Department of Obstetrics and Gynaecology, St. Mary’s Hospital, Central Manchester University Hospitals Foundation Trust, Manchester M13 9WL, United Kingdom. Electronic address: lcraciunas@doctors.org.uk.2Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania.3Department of Obstetrics and Gynaecology, St. Mary’s Hospital, Central Manchester University Hospitals Foundation Trust, Manchester M13 9WL, United Kingdom.”
Eur J Obstet Gynecol Reprod Biol
ABSTRACT
We performed a systematic review of the randomized controlled trials (RCTs) reporting on the use of a peritoneal gas drain following gynecological laparoscopy. The standard medical databases were searched for studies published prior to with no restrictions for language, country of origin, blinding or sample size. We defined the primary endpoints: shoulder and total pain at 4-6, 24 and 48h following laparoscopy and secondary endpoints: women satisfaction, requirement of analgesia and antiemetics. The quality of the included RCTs was assessed by the guideline of the Cochrane Collaboration. Based on the data from 5 moderate quality RCTs we concluded that there is very little evidence of an overall benefit from using a peritoneal gas drain following gynecological laparoscopy The possible reduction of shoulder and total pain is not associated with a reduction in the requirement of analgesia and antiemetics when compared to the control group.Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Full Text Source: Elsevier Science
PMID:24768233 | http://www.ncbi.nlm.nih.gov/pubmed/24768233

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