Effect of surgical approach on physical activity and pain control after sacral colpopexy.
Level II
Where this comes from
- Record sourced from PubMed, PMID 22397901.
- Also identified by DOI 10.1016/j.ajog.2012.01.036.
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Abstract
We sought to compare recovery of activity and pain control after robotic (ROB) vs abdominal (ABD) sacral colpopexy. 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. 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. Women undergoing ROB vs ABD sacral colpopexy do not recover physical activity faster, and pain control is not improved.
Medical subject headings
- Gynecologic Surgical Procedures
- Motor Activity
- Postoperative Pain
- Pelvic Organ Prolapse
- Recovery of Function
- Robotics
- Vagina