Inclusion Criteria:  who agreed to participate in the research 18 years old and over BMI within normal limits VAS score of 5 or higher  Exclusion Criteria:  who refused to participate in the research with a history of upper laparotomy Having endocrine, renal, hepatic or immunological disease ASA (American Society of Anesthesiologists) score above 3 with chronic shoulder pain Regular use of analgesics using sedative drugs