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

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• 作者：Anna Fagotti ; Carolina Bottoni ; Giuseppe Vizzielli ; Salvatore Gueli Alletti ; Giovanni Scambia ; Elisabetta Marana ; Francesco Fanfani
• 关键词：Laparoendoscopic single-site surgery (LESS) ; pain ; analgesia ; laparoscopy ; adnexal disease
• 刊名：Fertility and Sterility
• 出版年：2011
• 出版时间：July 2011
• 年：2011
• 卷：96
• 期：1
• 页码：255-259.e2
• 全文大小：217 K

文摘

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.