Yazarlar |
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 |