Inclusion Criteria:  Adult patients aged 20-79 years with ASA I - III undergoing elective laparoscopic gynecological surgery under general anesthesia  Exclusion Criteria:  Patients who do not consent to the trial Conversion to open surgery from laparoscopic surgery Patients with previous shoulder disease or history of shoulder surgery Patients who have difficulty wearing an abdominal binder due to skin disease or wounds in the abdomen Development of subcutaneous emphysema Change of intra-abdominal carbon dioxide pressure due to surgical difficulties