Postoperative pain after laparoscopic and vaginal hysterectomy for benign gynecologic disease: A randomized trial

Fabio Ghezzi, Stefano Uccella, Antonella Cromi, Gabriele Siesto, Maurizio Serati, Giorgio Bogani, Pierfrancesco Bolis

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume203
Issue number2
DOIs
Publication statusPublished - 2010

Keywords

  • laparoscopic hysterectomy
  • pain
  • rescue analgesia
  • surgical outcomes
  • vaginal hysterectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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