Shoulder pain after laparoscopic antireflux surgery: a single-center, randomized, open-label trial.

ABSTRACT:

Background

Post-laparoscopic shoulder pain (PLSP) is a significant source of postoperative morbidity after hiatal hernia repair and antireflux surgery. We evaluated whether adjunctive pain relief strategies-instillation of 0.25% bupivacaine over the left hemidiaphragm or postoperative back massager use-reduced opioid use or pain severity after laparoscopic antireflux surgery (LARS).

Methods

This single-center, randomized, open-label trial included patients who underwent elective primary LARS between May 2021 and April 2024. Participants were randomly assigned (1:1:1) to one of three groups: A, standard medication regimen; B, standard + intraoperative instillation of 0.25% bupivacaine over the left hemidiaphragm; or C, standard + back massager use. Primary outcomes included o

SUBMITTER: Mittal SK 

PROVIDER: S-EPMC12287184 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature