Journal of minimally invasive gynecology · 2026
Effect of Location of Minilaparotomy for Morcellation at the Time of Myomectomy and Hysterectomy on Postoperative Pain.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kowalski Leigh, Buchman Madison, Bian Helen, Zhong Kelin, Kuo Chia-Ling, Newmark Alexis, Luciano Danielle, Ulrich Amanda
Аннотация
STUDY OBJECTIVE: To compare patient pain perception with extension of the umbilical vs suprapubic laparoscopic port site at the time of tissue morcellation.
DESIGN: Prospective nonrandomized pilot study.
SETTING: Academic hospital.
PARTICIPANTS: Women undergoing surgery with anticipated manual morcellation for tissue extraction. Sixty-four patients were enrolled, 14 were excluded, 27 were included in the suprapubic morcellation group, and 23 in the umbilical morcellation group.
INTERVENTIONS: Patients were assigned to suprapubic or umbilical port site extension for morcellation based on surgeon preference, specimen size and location, and patient characteristics. Pain perception was obtained through a survey with a 10-point pain scale.
MEASUREMENTS AND MAIN RESULTS: The worst pain scores at 24 hours postoperatively did not significantly differ between groups (suprapubic vs umbilical: 7.4 ± 2.4 vs 7.3 ±1.7, p = .528). The difference increased at 2 weeks postoperatively (5.8 ± 2.8 vs 4.9 ± 2.5, p = .244). Opioid use at 2 weeks, measured as morphine milligram equivalents, was higher in the suprapubic group than the umbilical (36.3 ± 33.5 vs 17.3 ± 19.8, p = .037), but the difference was not statistically significant after covariate adjustment. Satisfaction scores were high in both groups (suprapubic vs umbilical: 4.4 ± 0.8 vs 4.7 ± 0.7, p = .321). There were no statistical differences in length of hospital stay, postoperative complications, and postoperative hernia.
CONCLUSION: In this pilot study, we observed no clear differences in patient-reported postoperative pain at 24 hours or 2 weeks between umbilical and suprapubic port extension for specimen morcellation. Although pain scores tended to be higher in the suprapubic group and morphine milligram equivalent lower with umbilical morcellation at 2 weeks, these differences were not statistically significant after multivariable adjustment.
DESIGN: Prospective nonrandomized pilot study.
SETTING: Academic hospital.
PARTICIPANTS: Women undergoing surgery with anticipated manual morcellation for tissue extraction. Sixty-four patients were enrolled, 14 were excluded, 27 were included in the suprapubic morcellation group, and 23 in the umbilical morcellation group.
INTERVENTIONS: Patients were assigned to suprapubic or umbilical port site extension for morcellation based on surgeon preference, specimen size and location, and patient characteristics. Pain perception was obtained through a survey with a 10-point pain scale.
MEASUREMENTS AND MAIN RESULTS: The worst pain scores at 24 hours postoperatively did not significantly differ between groups (suprapubic vs umbilical: 7.4 ± 2.4 vs 7.3 ±1.7, p = .528). The difference increased at 2 weeks postoperatively (5.8 ± 2.8 vs 4.9 ± 2.5, p = .244). Opioid use at 2 weeks, measured as morphine milligram equivalents, was higher in the suprapubic group than the umbilical (36.3 ± 33.5 vs 17.3 ± 19.8, p = .037), but the difference was not statistically significant after covariate adjustment. Satisfaction scores were high in both groups (suprapubic vs umbilical: 4.4 ± 0.8 vs 4.7 ± 0.7, p = .321). There were no statistical differences in length of hospital stay, postoperative complications, and postoperative hernia.
CONCLUSION: In this pilot study, we observed no clear differences in patient-reported postoperative pain at 24 hours or 2 weeks between umbilical and suprapubic port extension for specimen morcellation. Although pain scores tended to be higher in the suprapubic group and morphine milligram equivalent lower with umbilical morcellation at 2 weeks, these differences were not statistically significant after multivariable adjustment.