TY - JOUR
T1 - Postoperative pain after laparoscopic and vaginal hysterectomy for benign gynecologic disease
T2 - A randomized trial
AU - Ghezzi, Fabio
AU - Uccella, Stefano
AU - Cromi, Antonella
AU - Siesto, Gabriele
AU - Serati, Maurizio
AU - Bogani, Giorgio
AU - Bolis, Pierfrancesco
PY - 2010
Y1 - 2010
N2 - Objective: To compare postoperative pain after laparoscopic and vaginal hysterectomy for benign disease. Study Design: A prospective randomized trial was designed to compare laparoscopic hysterectomy and vaginal hysterectomy in patients with uterine volume ≤14 weeks of gestation. Postoperative pain was measured using the visual analog scale (VAS) at 1, 3, 8, and 24 hours postoperatively. Intra- and postoperative outcomes were carefully recorded, including the need for postoperative rescue doses of analgesia. Results: A total of 82 patients were enrolled. Patients who underwent vaginal hysterectomy complained of higher postoperative pain at each VAS evaluation (VAS-1 hour, P <.0001; VAS-3 hour, P <.0001; VAS-8 hour, P <.0001; VAS-24 hour, P = .0003) with a higher need for rescue analgesia (P <.0001) and a longer hospitalization (P = .001). The other perioperative characteristics were comparable between the 2 groups. Conclusion: Laparoscopic hysterectomy provides an advantage over vaginal hysterectomy in terms of postoperative pain, need for rescue analgesia and hospital stay, with similar perioperative outcomes.
AB - Objective: To compare postoperative pain after laparoscopic and vaginal hysterectomy for benign disease. Study Design: A prospective randomized trial was designed to compare laparoscopic hysterectomy and vaginal hysterectomy in patients with uterine volume ≤14 weeks of gestation. Postoperative pain was measured using the visual analog scale (VAS) at 1, 3, 8, and 24 hours postoperatively. Intra- and postoperative outcomes were carefully recorded, including the need for postoperative rescue doses of analgesia. Results: A total of 82 patients were enrolled. Patients who underwent vaginal hysterectomy complained of higher postoperative pain at each VAS evaluation (VAS-1 hour, P <.0001; VAS-3 hour, P <.0001; VAS-8 hour, P <.0001; VAS-24 hour, P = .0003) with a higher need for rescue analgesia (P <.0001) and a longer hospitalization (P = .001). The other perioperative characteristics were comparable between the 2 groups. Conclusion: Laparoscopic hysterectomy provides an advantage over vaginal hysterectomy in terms of postoperative pain, need for rescue analgesia and hospital stay, with similar perioperative outcomes.
KW - laparoscopic hysterectomy
KW - pain
KW - rescue analgesia
KW - surgical outcomes
KW - vaginal hysterectomy
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U2 - 10.1016/j.ajog.2010.04.026
DO - 10.1016/j.ajog.2010.04.026
M3 - Article
C2 - 20522410
AN - SCOPUS:77955655129
VL - 203
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 2
ER -