![]() ![]() walking around, taking a hot shower, and lying on your side. ![]() Gas pain in the shoulder following laparoscopic surgery can be reduced by: However, despite best efforts to suction out all of the gas, some CO2 often remains inside the abdomen. Once the surgery is over, CO2 is released from the abdomen, and skin incisions are sewn together. They then insert surgical instruments through other small incisions and port sites to remove any endometriotic lesions or perform any other necessary procedures. The laparoscope visualizes the inside of the abdomen. Next, surgeons insert a laparoscope through the trocar. It also serves to put back pressure against the intestines and protect them during surgery. Inflating the abdomen with CO2 gas allows the surgeon to have the best possible visibility throughout the abdomen. Causes of shoulder pain About laparoscopic surgeryĭuring laparoscopy, surgeons make a small cut into the belly button, through which they insert a tube called a trocar to pump CO2 gas into the abdomen. We recommend avoiding narcotics, rotating Tylenol and ibuprofen along with Gas-X, a stool softener like Colace, and, if needed, a laxative. The drugs can cause constipation, bloating, further trapped gas, and can even cause an ileus (the temporary paralysis of intestines). Narcotics slow bowel movements following surgery. At Seckin Endometriosis Center, we do not prescribe narcotics for this very reason. The pain can last two to three days or longer depending on the pain medication the patient is on. Shoulder Pain Endometriosis How common is shoulder pain after endometriosis surgery?Īround 35 to 80% of patients who undergo laparoscopic surgery for endometriosis experience shoulder pain post-op. Irritation to the diaphragm may cause a person to feel pain in the shoulder area. The phrenic nerve is a nerve that originates in the neck and goes down to the diaphragm. However, residual gas can often remain, causing pressure along with the diaphragm. Much of the gas will be removed towards the end of the procedure. This, in turn, can irritate the phrenic nerve, which has origins in the diaphragm and nerve endings in the shoulder. This gas can remain in the abdomen and irritate the diaphragm. Your endometriosis operation was in the pelvic area, so why are you feeling pain way up into your shoulder? This is because of the CO2 gas that is used to inflate the abdomen before surgery. Regardless of whether you’re a first-timer, shoulder pain is common after laparoscopic surgery. But patients who have had multiple laparoscopic procedures know all too well that shoulder pain, and accompanying rib and chest pain, is common. Why do I have shoulder pain after endometriosis surgery?įor first-time laparoscopic endometriosis surgery patients, post-operative shoulder pain can be an alarming symptom. ![]()
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