Gauta Joseph
Naples Day Surgery, Naples, Florida, USA.
JSLS. 2011 Jul-Sep;15(3):346-9. doi: 10.4293/108680811X13125733356558.
The purpose of this study was to assess the differences in patient pain postoperatively, comparing 2 types of outpatient hysterectomy procedures.
This is a nonblind, nonrandomized, prospective study of surgeries performed at 1 ambulatory surgery center by 1 surgeon over 14 months. Patient pain was assessed using a visual analog scale before and after laparoscopically assisted vaginal hysterectomy and total laparoscopic hysterectomy. Patients were followed through a 2-week postoperative period.
Nineteen laparoscopically assisted vaginal hysterectomies and 17 total laparoscopic hysterectomies were performed. The 2 groups were similar in age, BMI, uterine weight, and surgical time. Comparing the 2 groups, there were no statistically significant differences in pain throughout any time points of the study.
There were no statistically significant differences in pain during the postoperative period between the 2 groups. Outpatient hysterectomy is a safe procedure that may improve patient satisfaction surgically and financially, and either approach is well tolerated by patients.
本研究旨在比较两种门诊子宫切除手术方式，评估患者术后疼痛的差异。
这是一项在1个门诊手术中心由1名外科医生在14个月内进行的非盲、非随机前瞻性手术研究。在腹腔镜辅助阴式子宫切除术和全腹腔镜子宫切除术前后，使用视觉模拟量表评估患者疼痛情况。对患者进行为期2周的术后随访。
共进行了19例腹腔镜辅助阴式子宫切除术和17例全腹腔镜子宫切除术。两组在年龄、体重指数、子宫重量和手术时间方面相似。比较两组，在研究的任何时间点，疼痛均无统计学显著差异。
两组术后疼痛无统计学显著差异。门诊子宫切除术是一种安全的手术方式，在手术和经济方面可能提高患者满意度，且两种方法患者耐受性均良好。
