Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: A randomized trial

Anna Fagotti, Carolina Bottoni, Giuseppe Vizzielli, Salvatore Gueli Alletti, Giovanni Scambia, Elisabetta Marana, Francesco Fanfani

Research output: Contribution to journalArticle

Abstract

Objective: To compare postoperative pain after laparoendoscopic single-site surgery (LESS) approach with conventional multiaccess laparoscopy (LPS). Study Design: Prospective randomized trial. Setting: University hospital. Patient(s): Benign adnexal disease. Intervention(s): Postoperative pain was measured by using the visual analog scale (VAS) at 20 minutes, 2 hours, 4 hours, and 8 hours after surgery. The need for postoperative rescue doses of analgesia was also recorded. Main Outcome Measure(s): Pain after surgery. Result(s): A total of 60 patients were enrolled. Within 8 hours, patients who underwent conventional LPS complained of statistically significant greater postoperative pain at VAS evaluation than those undergoing LESS, both at rest and after Valsalva maneuver, with a higher need for rescue analgesia. Conclusion(s): LESS provides an advantage over conventional multiaccess LPS in terms of postoperative pain and need for rescue analgesia, with similar perioperative outcomes.

Original languageEnglish
JournalFertility and Sterility
Volume96
Issue number1
DOIs
Publication statusPublished - Jul 2011

Keywords

  • adnexal disease
  • analgesia
  • Laparoendoscopic single-site surgery (LESS)
  • laparoscopy
  • pain

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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