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Strategies to minimize soft tissue swelling during shoulder arthroscopy are constantly sought after. The investigators propose an unfamiliar method which may reduce tissue swelling during shoulder arthroscopy.
Fluid extravasation into the surrounding tissue is common in shoulder arthroscopy. It frequently leads to soft tissue swelling and edema which results in poor visualization and prolonged surgical time. While usually resolves uneventfully within 12 hours, excessive fluid extravasation into the soft tissue around the shoulder may lead to serious consequences and complications such as airway compromise, tracheal deviation, neuropraxias, habdomyoloysis and skin necrosis have been reported in the literature. Methods aimed at reducing soft tissue swelling during shoulder arthroscopy in order to avoid complications (e.g., low pump pressure, short arthroscopic time) are routinely practiced. Nevertheless, fluid extravasation and soft tissue swelling remains a concern in shoulder arthroscopy.
The purpose of the current study is to evaluate whether applying local compression to the shoulder by preoperative compressive draping will reduce soft tissue swelling during shoulder arthroscopy. To the investigators' knowledge, no previous study evaluated the influence of applying compressive draping to the shoulder on soft tissue swelling in shoulder arthroscopy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard draping | No Intervention | Shoulder arthroscopy will be performed using standard draping with the shoulder exposed. | |
| Compressive draping | Experimental | After standard preparation similar to the no-intervention group, the shoulder will be draped with compressive draping using adhesive incise drape (Iobanâ„¢2 Antimicrobial Incise Drape, 3M Inc.,USA) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Compressive draping using adhesive incise drape | Device | In the intervention group the shoulder will be drape with compressive draping using adhesive incise drape (Iobanâ„¢2 Antimicrobial Incise Drape, 3M Inc.,USA). |
| Measure | Description | Time Frame |
|---|---|---|
| Change on shoulder circumference | The change in shoulder circumference will be assessed at the end of the procedure. Shoulder circumference before and at the end of the procedure will be measured from the mid-point between the coracoid process and anterior axillary fold anteriorly to the mid-point between the scapular spine and the posterior axillary fold posteriorly. | Immediate post-operative |
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Inclusion criteria for the study are defined as:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ofir Uri, MD | Contact | +972-52-3863228 | ofiruri@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ofir Uri | Hillel Yaffe Medical Center | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38379580 | Derived | Uri O, Alfandari L, Yaron R, Kettanie A, Laufer G, Behrbalk E. Effect of Compressive Shoulder Draping With Adhesive Incise Drape on Soft Tissue Swelling in Shoulder Arthroscopy: A Prospective Randomized Trial. Orthop J Sports Med. 2024 Feb 19;12(2):23259671241229736. doi: 10.1177/23259671241229736. eCollection 2024 Feb. |
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After signing an informed consent participants will be randomised to one of the two study groups.
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