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Chirurgie 1. Juni 2011

Transvaginal cholecystectomy is associated with reduced pain and decreased analgetic requirements compared to laparoscopic cholecystectomy

BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) is regarded as less invasive than laparoscopic surgery. However, the assumed advantages of NOTES – such as reduced pain and faster recovery of patients should be verified. METHODS: In this prospective controlled study 30 women undergoing transvaginal cholecystectomy (TV-ChE) were compared with 30 women undergoing conventional laparoscopic cholecystectomy (LAP-ChE). RESULTS: Compared to the LAP-ChE group, the women of the TV-ChE group reported less postoperative pain and less analgesic consumption. Both the duration of stay in the recovery room and the hospital stay were shorter in the TV-ChE group. After a follow-up of 3 months none of the patients of the TV-ChE group complained of dyspareunia or other colpotomy-related complications. CONCLUSIONS: TV-ChE is a safe and less invasive surgical technique. Compared to LAP-ChE there are some advantages such as less need for analgesics, faster mobilization, more comfortable recovery and shorter hospital stay.

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