Effect of surgical approach on physical activity and pain control after sacral colpopexy

被引：26
作者：
Collins, Sarah A. [1 ]
Tulikangas, Paul K. [1 ]
O'Sullivan, David M. [2 ]
机构：
[1] Univ Connecticut, Ctr Hlth, Hartford Hosp, Dept Obstet & Gynecol,Div Urogynecol, Hartford, CT 06112 USA
[2] Univ Connecticut, Ctr Hlth, Hartford Hosp, Div Res Adm, Hartford, CT 06112 USA
来源：
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 206卷 / 05期
关键词：
accelerometer; postoperative pain control; postoperative recovery; Short Form-36; SURGERY;
D O I：
10.1016/j.ajog.2012.01.036
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
OBJECTIVE: We sought to compare recovery of activity and pain control after robotic (ROB) vs abdominal (ABD) sacral colpopexy. STUDY DESIGN: Women undergoing ROB and ABD sacral colpopexy wore accelerometers for 7 days preoperatively and the first 10 days postoperatively. They completed postoperative pain diaries and Short Form-36 questionnaires before and after surgery. RESULTS: At 5 days postoperatively, none of the 14 subjects in the ABD group and 4 of 28 (14.3%) in the ROB group achieved 50% total baseline activity counts (P = .283). At 10 days, 5 of 14 (35.7%) in the ABD group and 8 of 26 (30.8%) in the ROB group (P = .972) achieved 50%. Postoperative pain was similar in both groups. Short Form-36 vitality scores were lower (P = .017) after surgery in the ABD group, but not in the ROB group. CONCLUSION: Women undergoing ROB vs ABD sacral colpopexy do not recover physical activity faster, and pain control is not improved.
引用
收藏
页码：438.e1 / 438.e6
页数：6
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