Does single-port access (SPA) laparoscopy mean reduced pain? A retrospective cohort analysis between SPA and conventional laparoscopy

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Tae-Joong KimDuk-Soo Bae

Abstract

To compare perioperative outcomes, including pain, between single-port access (SPA) and conventional laparoscopy in patients with presumed benign gynecological adnexal diseases. Study design A retrospective cohort study was performed at Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. All operations in each group were performed consecutively by a single surgeon. A total of 188 patients were enrolled, with 94 patients per group. Baseline characteristics before surgery were similar between groups. Visual analogue scale pain scores 24h after laparoscopy were lower in the SPA group than in the conventional laparoscopy group (2, 0-7 vs. 3, 2-6 P=0.006). In addition, we found that the SPA group had less supplementary analgesic use (parenteral Ketoprofen intramuscular injection, 1 ampule=100mg) per patient after surgery compared to that in the conventional group (1 ampule, 0-7 vs. 2 ampule, 0-6, P=0.010). These results add to the evidence suggesting an advantage of SPA laparoscopy over conventional laparoscopy in terms of decreasing postoperative pain. Additional large, randomized controlled trials are needed to confirm these findings and to investigate long-term outcomes such as quality of life and co...Continue Reading

References

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Citations

Jan 23, 2013·Best Practice & Research. Clinical Obstetrics & Gynaecology·L MencagliaS Angioni
Aug 29, 2014·Gynécologie, obstétrique & fertilité·L de PonchevilleE Drapier
Jun 15, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·B RabischongR Botchorishvili
Mar 12, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·B TuschyA Hornemann
Nov 21, 2012·Gynécologie, obstétrique & fertilité·L de PonchevilleE Drapier
Dec 17, 2014·Taiwanese Journal of Obstetrics & Gynecology·Ben-Shian HuangYi-Jen Chen
Mar 17, 2016·Gynecologic Oncology·David M Boruta
Mar 21, 2015·Fertility and Sterility·Erin I LewisAntonio R Gargiulo
May 12, 2016·Journal of Robotic Surgery·Antonio R GargiuloPedro F Escobar
Sep 11, 2019·Medicina·Bradley J WallaceAhmed I Marwan
Mar 16, 2017·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Yetkin KarasuKahraman Ülker

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