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

Am J Obstet Gynecol. 2012 May;206(5):438.e1-6. doi: 10.1016/j.ajog.2012.01.036. Epub 2012 Feb 1.

Abstract

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.

Publication types

  • Clinical Trial
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Gynecologic Surgical Procedures / instrumentation
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Middle Aged
  • Motor Activity*
  • Narcotics / therapeutic use
  • Pain Measurement
  • Pain, Postoperative* / drug therapy
  • Pelvic Organ Prolapse / surgery*
  • Prospective Studies
  • Quality of Life
  • Recovery of Function*
  • Robotics*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Vagina / surgery*

Substances

  • Narcotics