Factors Associated With Pain Following Operative Laparoscopy: A Prospective Observational Study

Martin Healey, Peter Maher, David Hill, R. Gebert, Peter Wein
In: Australian and New Zealand Journal of Obstetrics and Gynaecology · 1998 · vol. 38(1) , pp. 80–84 · doi:10.1111/j.1479-828x.1998.tb02965.x · PMID:9521398 · W2058044319
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This study found that operative factors like cutting major vessels, ligaments, the vagina, or ovary significantly impacted postoperative symptoms, which did not resolve for at least 5 days despite standardized analgesia.

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Abstract

An open prospective observational study was performed, aiming to measure symptom severity following operative gynaecological laparoscopy and explore any associated factors. Women having concomitant procedures were excluded. Each woman had standardized analgesia, completed a symptom diary for 7 days postoperation, and had a standardized form completed by the surgeon detailing the operation. Back pain, nausea and vaginal pain were found to not be of clinical significance. Cutting major vessels, ligaments, vagina or ovary had major impacts on postoperative symptoms. In the presence of a standardized analgesic regimen, symptoms did not resolve for at least 5 days.

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