Korean J Anesthesiol.  2007 Mar;52(3):301-305. 10.4097/kjae.2007.52.3.301.

Comparison of Postoperative Pain after Abdominal and Laparoscopic Assisted Vaginal Hysterectomy by using IV-PCA

• Kang HS
• Park HJ

• KMID: 1937594
• DOI: http://doi.org/10.4097/kjae.2007.52.3.301

Abstract

BACKGROUND
It is known that laparoscopic surgery is associated with less pain than open surgery in many studies. We wanted to evaluate the postoperative pain by using intravenous patient-controlled analgesia (IV-PCA) in patients undergoing laparoscopic assisted vaginal hysterectomy (LAVH) or abdominal total hysterectomy (ATH).
METHODS
Ninety one women with uterine myoma were prospectively assigned to undergo either LAVH (n = 49) or ATH (n = 42). IV-PCA was used for postoperative pain control in both groups. Pain scores were assessed using a visual analogue scale (VAS) and cumulative PCA-drug consumption and incidences of nausea and vomiting were recorded in 1, 2, 4, 24, 48 hours after surgery.
RESULTS
There were no differences in terms of patient's age, BMI and total operation time between the both groups. Pain scores and the demand of analgesics of the IV-PCA in 1, 2, 4, 24, and 48 hours after surgery were not significantly different in both groups. Incidences of nausea and vomiting after surgery were more common in LAVH than ATH especially within 4 hours.
CONCLUSIONS
The present study demonstrates that LAVH requires adequate postoperative pain control as ATH during the first 48 hours after surgery, and the effective prevention of PONV is required in LAVH compared with ATH.

Keyword

abdominal total hysterectomy; intravenous patient-controlled analgesia; laparoscopic assisted vaginal hysterectomy; postoperative nausea and vomiting; visual analogue score

MeSH Terms

Analgesia, Patient-Controlled
Analgesics
Female
Humans
Hysterectomy
Hysterectomy, Vaginal*
Incidence
Laparoscopy
Leiomyoma
Nausea
Pain, Postoperative*
Postoperative Nausea and Vomiting
Prospective Studies
Vomiting
Analgesics