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Early Postoperative Pain After Keyless Abdominal Rope-Lifting Surgery     
Yazarlar
Prof. Dr. Kahraman ÜLKER Prof. Dr. Kahraman ÜLKER
İstanbul Rumeli Üniversitesi, Türkiye
Ürfettin Hüseyinoğlu
Türkiye
Melek Çiçek
Türkiye
Özet
Keyless abdominal rope-lifting surgery is a novel, gasless, single-incision laparoscopic surgical technique. In this study we aimed to compare the postoperative pain from keyless abdominal rope-lifting surgery with carbon dioxide laparoscopy performed for benign ovarian cysts. During a 20-month period, 77 women underwent surgery for a benign ovarian cyst. Keyless abdominal rope-lifting surgery and conventional carbon dioxide laparoscopy techniques were used for the operations in 32 women and 45 women, respectively. The 2 operative techniques were compared with regard to demographic characteristics; preoperative, intraoperative, and postoperative data including early postoperative pain scores; and frequency of shoulder pain and analgesic requirements. Data regarding demographic characteristics, preoperative findings, cyst diameters and rupture rates, intra-abdominal adhesions, intraoperative blood loss, and postoperative hospital stay did not differ between groups (P > .05). However, the mean operative and abdominal access times were significantly longer in the keyless abdominal rope-lifting surgery group (P < .05). Visual analog scale pain scores at initially and at the second, fourth, and 24th hours of the postoperative period were significantly lower in the keyless abdominal rope-lifting surgery group (P < .05). Similarly, keyless abdominal rope-lifting surgery caused significantly less shoulder pain and additional analgesic use (P < .05). Keyless abdominal rope-lifting surgery seems to cause less pain in the management of benign ovarian cysts in comparison with conventional carbon dioxide laparoscopy.
Anahtar Kelimeler
Laparoscopic surgery | Minimal access surgical procedures | Ovarian cysts | Scarless | Single port | Visual analog pain scale
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
Dergi ISSN 1086-8089
Dergi Tarandığı Indeksler SCI
Makale Dili İngilizce
Basım Tarihi 01-2015
Cilt No 19
Sayı 1
Sayfalar 1 / 10
Doi Numarası 10.4293/JSLS.2013.00392
Makale Linki http://dx.doi.org/10.4293/jsls.2013.00392
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 3
Early Postoperative Pain After Keyless Abdominal Rope-Lifting Surgery

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