en Health Improvement Strategies Health Improvement Strategies مقاله مروری Review Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Background and Objective:</span></span>&nbsp;</strong><span style="line-height:115%"><span style="line-height:115%">Very often the patients who </span><span lang="EN"><span style="line-height:115%">undergo </span></span><span style="line-height:115%">laparoscopic surgery suffer from shoulder pain (SP). As a result, different studies have been conducted to mitigate shoulder pain following laparoscopic surgery. This systematic review aims to investigate the efficacy of different interventions in mitigating laparoscopy-induced SP.</span></span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Materials and Methods:</span></span>&nbsp;</strong><span style="line-height:115%"><span style="line-height:115%">In this systematic review, relevant articles were included using ISI, PubMed, MEDLINE, etc., from 2009 to 2020. Medical Subject Headings (Mesh) of Laparoscopic Surgical Procedures, Surgery Laparoscopic, Laparoscopic Assisted, Shoulder Pain, randomized controlled trial, and clinical trial were searched for eligible studies. Random effect model and standardized mean difference (SMD) index were applied to combine the studies and perform a meta-analysis.</span></span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Results:</span></span></strong>&nbsp;<span style="line-height:115%"><span style="line-height:115%">A total sample of 11,024 was obtained for 10 selected studies. Results </span><span lang="EN"><span style="line-height:115%">from</span></span> <span style="line-height:115%">intraoperative intervention demonstrate that the mean VAS (visual analog scale) scores were 1.46(CI 95%: -0.32, 3.24) and 1.87(CI 95%:0.79, 2.94) in the intervention and control groups, respectively six hours after surgery. The mean VAS scores were 2.06(CI 95%: 0.91, 3.20) and 2.35 (CI 95%: 0.57, 4.13) in the intervention and control groups, respectively, twelve hours after surgery. 24 hours following surgery; the mean VAS scores were 0.96(CI 95%: -0.21, 2.13) and 1.27(CI 95%: 0.33, 2.21) in the intervention and control groups, respectively.</span></span><br> <strong new="" roman="" style="font-family: " times=""><span style="color:#ffffff;"><span style="background-color:#16a085;">Conclusion:</span></span>&nbsp;</strong><span style="line-height:115%"><span style="line-height:115%">The results of this meta-analysis demonstrate that intraoperative interventions, such as Peritoneal Suction Drainage, injection of Intraperitoneal Hydrocortisone with Bupivacaine, and warm and humidified insufflation carbon dioxide, can reduce the severity of SP in patients with LS. In addition, clinical trials with different interventions are needed to compare the efficacy and find effective interventions for SP management in patients with LS.</span></span></span></span></p> Shoulder Pain, Surgery, Laparoscopy, Meta-analysis, Systematic Review 294 315 http://journal.zums.ac.ir/browse.php?a_code=A-10-4135-4&slc_lang=en&sid=1 Hamideh Yazdimoghaddam ha_yazdimoghaddam@yahoo.com 5200319475328460077722 5200319475328460077722 No Non-Communicable Diseases Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran Fatemeh Zahra Karimi phdstumidwife@yahoo.com 5200319475328460077723 5200319475328460077723 No Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Elham NaviPour elham.navipour@gmail.com & karimifz@mums.ac.ir 5200319475328460077724 5200319475328460077724 Yes Dept. of Social Medicine, Faculty of Medicine, Sabzevar University of Medical Sciences, Iran