Comparison of Mean Pain Score in Patients Undergoing Total Laparoscopic Hysterectomy and Total Abdominal Hysterectomy

Abstract

Background: Laparoscopic hysterectomy becomes a preferred option all over the world because it is related with less post-operative pain, short hospital stay and earlier recovery as compared with total abdominal hysterectomy. Objective: To compare the mean pain scores between patients undergoing total laparoscopic hysterectomy and total abdominal hysterectomy. Study Design: Randomized control trial. Settings: Department of Obstetrics & Gynecology, Allied Hospital, Faisalabad Pakistan. Duration: 8^th March 2019 to 7^th September 2019. Methods: Total 60 patients, 40-75 years of age undergoing hysterectomy were selected. Patients with history of pelvic or abdominal irradiation, endometriosis or pelvic inflammatory disease, history of cardiac or pulmonary disease or previous pelvic surgery were excluded. Patients in group A, total laparoscopic hysterectomy was performed where as in group B, total abdominal hysterectomy was performed. All patients were followed for mean post-operative pain for first 24 hours. Results: Our study showed that stratification of pain scores with respect to age in 40-60 years age group was significant where as in 61-75 years age group it was nonsignificant. Another effect modifier in the study was BMI, which showed significant p-value i.e. 0.0001 in both groups (<25 and >25BMI). Postoperative mean pain score in both group of patients were assessed at 2hr, 4hr, 8hr, 12hr and 24hr, which were significant. Conclusion: Standardized technique, patients counselling, relatively younger age group, lower BMI and appropriate post-operative nursing care plays vital role in maintaining pain scores in TLH.