• Andrea Olguín-Ortega, Lino Palacios-Cruz, Alejandro Rendón-Molina, Oliver Cruz-Orozco, Brenda Sánchez-Ramírez, Silvia Fabiola Estrada-Rivera, José Roberto Silvestri-Tomassoni, Ana Cristina Arteaga-Gómez, and Enrique Reyes-Muñoz.
• Department of Gynecology, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Montes Urales 800, Mexico City 11000, Mexico.
• Medicina (Kaunas). 2024 Sep 10; 60 (9).

AbstractBackground and Objectives: Postoperative shoulder pain is a common issue after total laparoscopic hysterectomy (TLH). This study evaluated the impact of a shoulder movement routine on postoperative shoulder pain in women undergoing uncomplicated TLH. Materials and Methods: An open-label randomized clinical trial included women without prior shoulder pain undergoing TLH between 20 January and 20 March 2024. Participants were randomized into two groups: Group 1 (n = 36) received a shoulder movement routine, while Group 2 (control, n = 39) performed a hand movement routine. Shoulder pain was assessed using the visual analog scale (VAS) at 6 h, 24 h, and 7 days postoperatively. Results: Seventy-five women participated. No significant differences were found between the groups regarding demographic variables, surgery duration, or hospital stay. Shoulder pain scores (VAS) at three time points (6 h, 24 h, and 7 days) showed no significant differences between groups (p = 0.57, p = 0.69, and p = 0.91, respectively). Similarly, there were no significant differences in incisional or abdominal pain. Conclusions: The shoulder movement routine did not significantly reduce postoperative shoulder pain in women undergoing uncomplicated TLH.

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