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The investigators want to test the hypothesis that the addition of a recruitment manoeuvre to a low pressure pneumoperitoneum will lead to an additional reduction in postoperative pain. Therefore the investigators will conduct a prospective randomized controlled, single blind trial.
Two groups:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low pressure pneumoperitoneum | Other | Surgery on low pressure pneumoperitoneum (8 - 10 mmHg). |
|
| low pressure peritoneum and pulmonary recruitment | Active Comparator | Surgery on low pressure pneumoperitoneum (8 - 10 mmHg) and at the end of surgery a manual pulmonary recruitment manoeuver (2 x 5sec max 40cmH2O) will be done |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pulmonary recruitment | Procedure | At the end of surgery a manual pulmonary recruitment (5 sec, max 40 cmH2O) is given to the patiënt |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain relief during the first 24 hours | VAS (0-10) | 24hours |
| Measure | Description | Time Frame |
|---|---|---|
| Total analgesic use during the first 24 hours | 24hours | |
| Length of hospital stay | 2 days | |
| Recovery after 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AZ groeninge | Recruiting | Kortrijk | 8500 | Belgium |
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| ID | Term |
|---|---|
| D011027 | Pneumoperitoneum |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D010532 | Peritoneal Diseases |
| D004066 | Digestive System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
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| No pulmonary recruitment | Procedure | At the end of surgery no intervention was completed |
|
quality of recovery scale |
| 48 hours |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |