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Trial registered on ANZCTR
Registration number
ACTRN12611000269932
Ethics application status
Approved
Date submitted
8/03/2011
Date registered
14/03/2011
Date last updated
18/03/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Perioperative Gabapentin for Prevention and Attenuation of Postoperative Shoulder Pain After Laparoscopic ovarian cystectomy
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Scientific title
Perioperative Gabapentin for Prevention and Attenuation of Postoperative Shoulder Pain After Laparoscopic ovarian cystectomy
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Secondary ID [1]
253595
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Laparoscopy - Ovarian Cyst
261151
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Condition category
Condition code
Anaesthesiology
259310
259310
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Drug : Gabapentin
600mg oral cap Gabapentin as premedication only once before laparascopy
premedication : treatment occurs before the elective laparoscopic ovarian cystectomy
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Intervention code [1]
258017
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Treatment: Drugs
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Intervention code [2]
264188
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Prevention
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Comparator / control treatment
control : Placebo (the same as the treatment drug in appearance and taste but containing no active ingredient)
oral cap as premedication only once before laparascopy
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Pain (clinical assessments)
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Assessment method [1]
262112
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Timepoint [1]
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2, 6, 12 hours post anesthetic recovery
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Secondary outcome [1]
273187
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nil
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Assessment method [1]
273187
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Timepoint [1]
273187
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nil
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Eligibility
Key inclusion criteria
patients with
1- aged between 18 and70
2- of ASA (American Society of Anesthesia) physical status I–II
3- undergoing elective laparoscopic ovarian cystectomy were enrolled in our study
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) hypersensitivity to any study drugs
2) serious organ disease/dysfunction
3) persistent preoperative pain
4) daily intake, or intake 48 h preoperatively, of any analgesic
5) alcohol/substance abuse
6) a major psychiatric disorder
7) a bleeding disorder
8) peptic ulcer disease
9) asthma/COPD
10) a seizure disorder
11) pervious abdominal surgery
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
23/09/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3179
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Iran, Islamic Republic Of
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State/province [1]
3179
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Tehran
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Funding & Sponsors
Funding source category [1]
258482
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University
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Name [1]
258482
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Tehran University of Medical Science
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Address [1]
258482
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Tehran University of Medical Siences
school of medicine
P.O.BOX : 14155-6447 zipcode: 1417613151 Tehran, I.R. of Iran
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Country [1]
258482
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Iran, Islamic Republic Of
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Primary sponsor type
University
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Name
Tehran University of Medical Science
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Address
Tehran University of Medical Siences
school of medicine
P.O.BOX : 14155-6447 zipcode: 1417613151 Tehran, I.R. of Iran
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
257623
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Country [1]
257623
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260459
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Iran Ethics committee
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Ethics committee address [1]
260459
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Ethics committee country [1]
260459
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
260459
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Approval date [1]
260459
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05/03/2011
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Ethics approval number [1]
260459
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89/130/1578
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Summary
Brief summary
Background: Shoulder pain after laparoscopic procedures is a frequent complication encountered in Gynecology ward. It is provoked by irritation or injury of the phrenic nerve at the diaphragm surface during CO2 pneumoperitoneum. Several treatments have been proposed to reduce post laparoscopic shoulder pain. Gabpantin is one of these treatments which was effective in post laparoscopic pain reduction. The purpose of this study is to evaluate the efficacy of perioperative Gabapentin in preventing and attenuating PLSP after laparoscopic ovarian cystectomy. Material and methods: This is a prospective, randomized, double-blind study. 40 patients undergoing elective laparoscopic ovarian cystectomy in Women hospital Tehran University of medical science were enrolled in our study from April 2008 to march 2009 according to the inclusion and exclusion criteria. The control group received oral placebo capsules and case group 600 mg Gabapentin 0.5 h before surgery. The intensity of post laparoscopic shoulder pain (PLSP) was recorded by patient using a visual analogue scale (VAS) 2, 6, 12 hours post anesthetic recovery. Results: There was no statistical significant difference between 2 groups in clinical characteristics. Duration of laparoscopy was similar in Gabapentin and placebo group. The frequency of post laparoscopic shoulder pain (PLSP) was (45%) in Gabapentin group and (75%) in placebo group (p=0.05) Post laparoscopic shoulder pain (PLSP) intensity in Gabapentin group was significantly lower than placebo group (p=0.004). We did not observe any adverse effect. Conclusion: 600mg Gabapentin as premedication was significantly effective in reducing post laparoscopic shoulder pain intensity after gynecologic laparoscopy compared with placebo without any adverse effect.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
32203
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Email
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Contact person for public queries
Name
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Sakineh Banifatemi
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Address
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No. 17-4th imam hasan All. Nabard St. Piroozi Ave. Tehran Iran. Postcode: 17676-15873
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Country
15450
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Iran, Islamic Republic Of
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Phone
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+98 09123846749
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sakineh Banifatemi
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Address
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No. 17-4th imam hasan All. Nabard St. Piroozi Ave. Tehran Iran. Postcode: 17676-15873
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Country
6378
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Iran, Islamic Republic Of
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Phone
6378
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+98 09123846749
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Fax
6378
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Email
6378
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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