Abstract
Background
This study aimed to compare single-port transumbilical total laparoscopic hysterectomy (SPLS-TLH) and four-port total laparoscopic hysterectomy (TLH) in terms of postoperative pain.
Methods
The study enrolled 68 patients who underwent TLH from October 2009 to March 2010 and randomly assigned them to one of two groups. Patient demographics, operative outcomes, and postoperative pain were prospectively examined.
Results
Four cases in the SPLS-TLH group were converted to other laparoscopic approaches. The two study groups did not differ in terms of patient demographics and surgical outcomes. Postoperative pain scores, measured using a visual analog scale, did not differ between the two groups. However, significantly higher total requests for analgesics were observed in the SPLS-TLH group (11.3 ± 4.1 vs. 7.7 ± 2.7; p < 0.001).
Conclusion
Compared with four-port TLH, SPLS-TLH is a feasible approach with comparable operative outcomes. However, reduction of postoperative pain is not evident with SPLS-TLH.
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Acknowledgments
This study was supported by the Brain Korea (BK) 21 project for medical sciences, Yonsei University, and by a National Research Foundation of Korea grant funded by the Korean government (2009-0071158).
Disclosures
Yong Wook Jung, Maria Lee, Ga Won Yim, San Hui Lee, Ji Heum Paek, Ha Yan Kwon, Eun Ji Nam, Sang Wun Kim, and Young Tae Kim have no conflicts of interest or financial ties to disclose.
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Yong Wook Jung and Maria Lee equally contributed to this work as co-first author.
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Jung, Y.W., Lee, M., Yim, G.W. et al. A randomized prospective study of single-port and four-port approaches for hysterectomy in terms of postoperative pain. Surg Endosc 25, 2462–2469 (2011). https://doi.org/10.1007/s00464-010-1567-z
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DOI: https://doi.org/10.1007/s00464-010-1567-z