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Less pain after transvaginal cholecystectomy: single-center pooled analysis
Dietmar H Borchert1, Matthias Federlein2, Oskar Rückbeil2
1Department of General Surgery, Oberhavel Hospitals Gransee, Meseberger Weg 12-13, 16775, Gransee, Brandenburg, Germany. dietmar.borchert@doctors.org.uk.
Surgical Endoscopy
|September 29, 2016
Summary
Transvaginal cholecystectomy (TVC) may offer less postoperative pain compared to conventional laparoscopic cholecystectomy (CLC). This pooled analysis of surgical outcomes indicates a potential advantage for TVC in managing patient pain after gallbladder removal.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Pain Management
Background:
- Previous studies on transvaginal cholecystectomy (TVC) yielded inconclusive results regarding postoperative pain.
- A pooled analysis was conducted to consolidate findings from cohort studies and a randomized controlled trial.
Purpose of the Study:
- To compare postoperative pain scores between transvaginal cholecystectomy (TVC) and conventional laparoscopic cholecystectomy (CLC).
- To evaluate the efficacy of TVC in reducing patient discomfort after gallbladder removal.
Main Methods:
- A pooled analysis of single-center data from October 2007 to June 2012.
- Inclusion of female patients (age >18) with symptomatic cholecystolithiasis undergoing either TVC or CLC.
- Pain assessment using a visual rating scale, with follow-up at 4 days.
Main Results:
- The analysis included 316 patients (141 TVC, 168 CLC), with 7 excluded.
- No significant differences were observed in age, ASA grade, surgical times, complications, or hospital stay.
- Postoperative pain scores were significantly lower on days two to four for the TVC group compared to the CLC group.
Conclusions:
- The pooled analysis suggests a significant advantage of TVC over CLC in terms of reduced postoperative pain.
- TVC may be a favorable option for patients seeking less pain after cholecystectomy.
