Is single port laparoscopy for benign adnexal disease less painful than conventional laparoscopy A single center Randomized Controlled Trial

There is no difference in experienced postoperative pain between laparo-endoscopic single-site surgery and conventional laparoscopy for benign adnexal disease.

0
0

Authors

Christian Hoyer-Sorensen, M.D., Ingvild Vistad, M.D., Ph.D., Karen Ballard, M.Sc., Ph.D.

Vol 98, Issue 4, Pages 973-979

Abstract

Objective:

To determine whether laparo-endoscopic single-site surgery (LESS) results in less postoperative pain and a better cosmetic surgical scar when compared to conventional laparoscopy.

Design:

A prospective, randomized controlled trial.

Setting:

A county hospital in Norway.

Patients:

Forty women with benign adnexal disease or a hereditary cancer risk scheduled for laparoscopic adnexal surgery.

Intervention:

LESS or conventional laparoscopy.

Main Outcome Measure:

Postoperative pain 24 hours after surgery.

Results:

There was no difference in pain at 24 hours after surgery, with a mean score of 3.0 (SD 2.1) in the LESS group and 2.5 (SD 1.5) in the conventional laparoscopy group. Significantly more shoulder tip pain was reported by women undergoing LESS compared with those having conventional surgery at 6 and 24 hours after surgery. A high satisfaction with the cosmetic result was reported in both groups, with no significant difference in the Manchester scar scale score.

Conclusions:

Although similar levels of postoperative pain are experienced by women having LESS and conventional laparoscopic surgery, women having LESS report significantly more shoulder tip pain compared to those having conventional laparoscopic surgery. This may relate to a significantly longer operation time in the LESS group.

Clinical Trials Registration Number:

NCT01288599

Read the full text at: http://www.fertstert.org/article/S0015-0282(12)00651-6/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

No comments yet.