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Comparative Analysis of Laparoscopic and Vaginal Hysterectomy- Postoperative Pain

Background: The purpose of the study was to compare the postoperative pain intensity between laparoscopic hysterectomy (LH) and vaginal hysterectomy (VH). Materials and methods: In two groups of patients (laparoscopic hysterectomy n=194 – Group A and vaginal hysterectomy n=151 – Group B) we compared average postoperative use of narcotic analgesics by hours in terms of equal dosage and similarity of drugs; we also evaluated postoperative pain intensity by Visual Analogue Scale for Pain (VAS Pain) questionnaire in 24 hours after the intervention.

Results and conclusions: Narcotics were used in 31 patients in LH group (15.98%) and 105 patients in VH group (69.54%). Average use of narcotic drugs in LH group was 7:06 hrs, compared to 9:94 hrs in VH group. Postoperative difference in 24 hrs pain intensity was not statistically significant – 1.35 in VH group and 1.12 after LH group. Thus, postoperative pain in first 12 hrs is more intensive after vaginal hysterectomy and lasts longer than after laparoscopic hysterectomy, but in 24 hrs is similar in both groups.


Japaridze Marika Gvenetadze Arsen

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