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The comparison of pain after gynecology laparoscopic surgery in two different intra-abdominal pressure



Abstract

Introduction: The use of laparoscopy as a new technology in medical science has increased over the last few decades. One of the uses of laparoscopy is pelvic examination and gynecological surgery. The role of laparoscopy in the treatment of gynecological surgery is being studied further. Laparoscopy, despite the many benefits it has, has some limitations. We decided to compare the amount of pain after gynecology laparoscopic surgery in two different intra abdominal pressure. The sampling method was using a random number table. Materials and methods: This study was a double blind clinical trial. A total of 84 female candidates for gynecology laparoscopic surgery who referred to the women ward of Shahid Sadoughi Hospital in Yazd were enrolled in two groups. 40 patients in group with blood pressure 12 mm. Hg (group A) and 44 in group with blood pressure 15 mm. Hg (group B). The study variables were: Patients' age, Gravidity, Parity, BMI, history of previous illness, duration of operation, duration of hospitalization and postoperative pain at 6-12 hours after surgery using VAS scores were recorded. Finally, the collected data were entered into SPSS version 17, using statistical tests were analyzed. Result: The results showed that the mean age of the patients was 32.54 ± 7.9. The mean scores of pain were 6 hours after surgery in group A, 5.5 ± 1.7 and in group B, 1.6 ± 5.9, and the mean score of pain was 12 hours after surgery in group A, 1.6 ± 2.1 and in group B, 1.5 ± 2.29. There was no statistically significant difference between the mean scores of pain 6 hours after surgery and the mean score of pain 12 hours after surgery in the two groups (P-value >0.05). Conclusion: According to results, can be concluded the in different intra-abdominal pressures, the amount of pain after gynecology laparoscopic surgery is not statistically significant.




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