Purpose: To determine the characteristics of the acute pain after laparoscopic-assisted vaginal hysterectomy (LAVH), laparoscopic myomectomy (LM), and laparoscopic adnexectomy (LA) and compare them with each other.
Patients And Methods: Patients undergoing LAVH, LM, and LA under general anaesthesia at the First Affiliated Hospital of Wenzhou Medical University between December 2017 and December 2019 were selected. Their data were collected before, during, and after the surgery. We evaluated the degrees of pain in each group of patients and compared them.
Results: There were differences in the baseline characteristics of the patients in the LAVH, LM, and LA groups. The severity and incidence of postoperative pain were higher in the LAVH group than in the LM and LA groups, followed by the LM and LA groups. Compared with the LA group, the postoperative pain in the LAVH and LM groups was more complicated. The LA group had the lowest incidence of two or more types of moderate to severe pain. The LAVH and LM groups mainly had visceral pain and low back pain, and the LA group mainly had incisional pain. Shoulder pain had the lowest incidence in the three groups.
Conclusion: There were different postoperative pain characteristics after the LAVH, LM, and LA, and we should clinically adjust analgesia programs for different gynaecological laparoscopic surgeries.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541747 | PMC |
| http://dx.doi.org/10.2147/JPR.S335089 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hysterectomy Techniques and Outcomes for Benign Large Uteri: A Systematic Review.
Obstet Gynecol
July 2024
Albert Einstein College of Medicine, Bronx, New York; University of Calgary, Calgary, Alberta, Canada; Northwestern Medicine, Chicago, Illinois; Ochsner Clinical School, Jefferson, Louisiana; Waukesha Memorial Hospital, Waukesha, Wisconsin; University Hospitals, Cleveland, Ohio; Rutgers New Jersey Medical School, Newark, New Jersey; Kaiser Permanente, Roseville, California; Florida State University, Tallahassee, Florida; Brown University School of Public Health, Providence, Rhode Island; and Houston Methodist Hospital, Houston, Texas.
Article Synopsis
- The study aimed to find the best hysterectomy method for large uteri, focusing on the risks and complications associated with different surgical approaches for benign conditions.
- Researchers analyzed 25 studies, including various types of trials, and found that total vaginal hysterectomy generally had shorter operating times and lower risks of ureteral injury compared to laparoscopic methods.
- Results indicated that total vaginal hysterectomy is preferable for reducing hospital stay and risk of complications, while robotic-assisted methods showed a lower likelihood of blood transfusion compared to traditional abdominal approaches.
Laparoscopic-Assisted Vaginal Hysterectomy With Dense Bladder Adhesions and Absent Cervix: A Case Report With a Descriptive Video of the Entire Procedure.
Cureus
April 2024
Department of Biomedical Sciences, Rocky Vista University College of Osteopathic Medicine, Ivins, USA.
Hysterectomy is one of the most frequently performed surgical procedures in the United States. Hysterectomy for benign gynecological reasons can be performed through several approaches: abdominal, laparoscopic, laparoscopically assisted vaginal, robotic-assisted, and vaginal natural orifice hysterectomy. The choice of approach is strongly influenced by factors such as previous procedures, safety, and recovery process.
View Article and Find Full Text PDFA new knotless parametrial tissue ligation technique for safe total laparoscopic hysterectomy.
Obstet Gynecol Sci
January 2024
Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Objective: Parametrial tissue ligation during total laparoscopic hysterectomy (TLH) is important in large uteri with large vessels.
Methods: A retrospective study was performed at Asan Medical Center for comparing TLH performed with a new knotless parametrial tissue ligation method and conventional laparoscopic-assisted vaginal hysterectomy (LAVH) from March 2019 to August 2021. For TLH, after anterior colpotomy, the parametrial tissue was ligated by anchoring the suture and making a loop in one direction three times using 1-0 V-LocTM 180 (Covidien, Mansfield, MA, USA) suture.
Pedestrian- and bicyclist-involved crashes: Associations with spatial factors, pedestrian infrastructure, and equity impacts.
J Safety Res
September 2023
Edward J. Bloustein School of Planning and Public Policy, Rutgers, The State University of New Jersey, 33 Livingston Avenue, New Brunswick, NJ 08901, USA. Electronic address:
Introduction: We analyze and compare the factors that influence the fatality of pedestrian and bicyclist involved crashes in New Jersey using available police-reported crash data between 2016 and 2020. Under three percent of crashes involve non-motorists statewide, but these account for about one third of all traffic fatalities in the state.
Methods: Our analysis is broken down into five parts: we (1) analyze the relationship between minority and low-income communities and non-motorist involved crashes; (2) identify spatial differences between non-motorist involved crashes and non-motorist involved fatal crashes; (3) compare the factors affecting fatal pedestrian crashes in New Jersey and in four counties in southern New Jersey for which we have data on pedestrian infrastructure; (4) compare the factors affecting fatal pedestrian crashes and fatal cyclist crashes in New Jersey; and, (5) discuss priority areas for improving safety.
Impact of resident participation on surgical outcomes in laparoscopically assisted vaginal hysterectomy.
Int J Gynaecol Obstet
February 2024
Department of Obstetrics and Gynecology, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea.
Article Synopsis
- The study aimed to evaluate the surgical outcomes of laparoscopically assisted vaginal hysterectomy (LAVH) in patients with benign conditions and examine the impact of resident involvement on these outcomes.
- A total of 683 patients were reviewed, with findings showing no significant difference in 30-day postoperative morbidity between surgeries with resident involvement (3.8%) and those without (2.5%).
- The research concluded that resident participation in LAVH doesn't negatively affect patient safety, suggesting it can be an effective method for training while maintaining care standards.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!