C œlioscopie monotrocart versus micro-cœlioscopie dans la chirurgie annexielle bénigne : résultats d’une étude pilote non randomisée

Discussion et conclusion Malgré un effectif de patientes faible, la micro-cœlioscopie semble présenter un avantage significatif sur la cœlioscopie monotrocart concernant les douleurs postopératoires en chirurgie annexielle bénigne. Objective Carry out a preliminary study comparing postoperative pain and intraoperative and postoperative complications between micro-laparoscopy and laparoscopic monotrocart non-oncological adnexal surgery. Methods All patients should benefit from a benign adnexal surgery were included prospectively from February to May 2014. The insufflation pressure, infiltration of trocar holes with a local anesthetic, postoperative analgesics were prescribed standardized. Operative and postoperative complications, type and length of hospital stay as well as EVA and analgesic consumption were recorded. Results Nine patients were included in monotrocart group versus 7 in the micro-laparoscopy group. There were no differences in operative and postoperative complications, the type and length of hospital stay, as well as cosmetics satisfaction. However, there was a significant difference in the VAS to D2 (2.15 vs. 4.08, P =0.04) and analgesic consumption at D0 (P =0.04), D1 (P =0.04), D2 (P =0.02) and D3 (P =0.01), for the benefit of micro-laparoscopy. Discussion and conclusion Despite an enrollment of patients low, micro-laparoscopy appears to have a significant advantage over the monotrocart laparoscopy for postoperative pain in benign adnexal surgery.

Source: Gynecologie Obstetrique and Fertilite - October 14, 2016 Category: OBGYN Source Type: research