• Fabio Ghezzi, Stefano Uccella, Antonella Cromi, Gabriele Siesto, Maurizio Serati, Giorgio Bogani, and Pierfrancesco Bolis.
• Department of Obstetrics and Gynecology, Del Ponte Hospital, University of Insubria, Varese, Italy. fabio.ghezzi@uninsubria.it
• Am. J. Obstet. Gynecol. 2010 Aug 1;203(2):118.e1-8.

ObjectiveTo compare postoperative pain after laparoscopic and vaginal hysterectomy for benign disease.Study DesignA prospective randomized trial was designed to compare laparoscopic hysterectomy and vaginal hysterectomy in patients with uterine volume ResultsA 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.ConclusionLaparoscopic hysterectomy provides an advantage over vaginal hysterectomy in terms of postoperative pain, need for rescue analgesia and hospital stay, with similar perioperative outcomes.Copyright (c) 2010 Mosby, Inc. All rights reserved.

34 keywords...

hide…