Douleur postopératoire après hystérectomie par voie vaginale selon la méthode d'hémostase utilisée : thermofusion ou suture aux fils

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• 作者：N. Douay ; F. Belot ; G. Bader ; B. Guyot ; D. Heitz ; A. Fauconnier
• 关键词：Postoperative pain ; Vaginal hysterectomy ; Electrosurgical bipolar vessel sealing
• 刊名：Gynecology Obstetrique & Fertilite
• 出版年：2007
• 期刊代码：108_12979589
• 类别：med
• 出版时间：July-August 2007
• 卷：35
• 期：7-8
• 页码：632-636
• 文件大小：314 K

摘要

The purpose of the study was to compare the postoperative pain of patients who had a hysterectomy through vaginal route according to the process of binding: wire or electrosurgical bipolar vessel sealing.

Patients and methods

Retrospective study carried out in the 60 last patients who underwent a hysterectomy by vaginal route for a benign pathology in the gynaecological service of surgery of the CHI Poissy–Saint-Germain-en-Laye until March 2006. Among these patients, 32 had profited from a binding by wire and 28 of the electrosurgical bipolar vessel sealing. The studied criteria were the post-operative pain, total morphine consumption and the durations of the analgesic treatment, the hospitalisation and intervention time.

Results

The postoperative pain in the first 24 hours was twice lower using thermofusion; it was valid in immediate post-operative period and after 24 hours. In addition, total morphine consumption was also significantly lower using thermofusion.

Discussion and conclusion

This pilot study shows that the electrosurgical bipolar vessel sealing allows a reduction in the pain into the immediate postoperative period. Other prospective and randomised studies would allow it and conclude on the duration of hospitalisation, the quality of life from the patients and the cost in terms of public health.