Study of Different Pain Scores in Single-Port Access (SPA) Laparoscopic Hysterectomy Versus Conventional Laparoscopic Hysterectomy

Samsung Medical Center40 enrolled

Overview

Purpose: The attempt to further reduce the operative trauma in laparoscopic hysterectomy led in new technique such as Single-Port Access (SPA) laparoscopic surgery. This new technique is considered as painless procedure and better cosmetic effect but there are not any publications to study a possible different pain score and cosmetic effect in new techniques versus conventional laparoscopic hysterectomy. In this randomized controlled study the researchers have investigated the pain scores and cosmetic satisfaction by modified body image scale and cosmetic scar scale.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Uterine Myoma Uterine Adenomyosis

Interventions

Eligibility

Sex: FEMALEMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 30-60, female * Symptomatic (Dysmenorrhea, Palpable mass, Pelvic pain or discomfort, Urinary symptom, Increasing size, Menorrhagia) myomas or adenomyosis * Suspected uterine myoma and/or adenomyosis on transvaginal ultrasonography (USG) * At least a 6-month thorough follow-up record available * Informed consent Exclusion Criteria: * Endometrial hyperplasia without myoma or adenomyosis * Body Mass Index more than 30 * Huge uterus defined by longitudinal uterine diameter larger than 10cm and anteroposterior diameter larger than 8cm in USG

Outcomes

Primary Outcomes

Pain score measured by visual analog scale

Time frame: postoperative 24 hours

Secondary Outcomes

Modified body image scale and cosmetic scar scale

Time frame: postoperative 6 months