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Effect of surgical approach on physical activity and pain control after sacral colpopexy

Published:February 10, 2012DOI:https://doi.org/10.1016/j.ajog.2012.01.036

      Objective

      We sought to compare recovery of activity and pain control after robotic (ROB) vs abdominal (ABD) sacral colpopexy.

      Study Design

      Women undergoing ROB and ABD sacral colpopexy wore accelerometers for 7 days preoperatively and the first 10 days postoperatively. They completed postoperative pain diaries and Short Form-36 questionnaires before and after surgery.

      Results

      At 5 days postoperatively, none of the 14 subjects in the ABD group and 4 of 28 (14.3%) in the ROB group achieved 50% total baseline activity counts (P = .283). At 10 days, 5 of 14 (35.7%) in the ABD group and 8 of 26 (30.8%) in the ROB group (P = .972) achieved 50%. Postoperative pain was similar in both groups. Short Form-36 vitality scores were lower (P = .017) after surgery in the ABD group, but not in the ROB group.

      Conclusion

      Women undergoing ROB vs ABD sacral colpopexy do not recover physical activity faster, and pain control is not improved.

      Key words

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