Table 3.
Comparison of postoperative pain assessed by numeric rating scale for (A) all patients and (B) patients without additional repair
| Time after surgery (h) | Abdominal pain (median, range) | Vaginal pain (median, range) | PCA usage during pain evaluation (n, %) | ||||||
|---|---|---|---|---|---|---|---|---|---|
| (A) All patients | |||||||||
| vNOTES (n = 13) | LESS (n = 13) | P value | vNOTES (n = 13) | LESS (n = 13) | P value | vNOTES (n = 13) | LESS (n = 13) | P value | |
| 0 | 5 (2–8) | 5 (2–8) | 0.880 | 3 (1–8) | 2 (0–6) | 0.153 | 13 (100%) | 12 (92.3%) | 0.308 |
| 8 | 3 (0–6) | 3 (0–6) | 0.418 | 3 (0–5) | 1 (0–4) | 0.169 | 13 (100%) | 12 (92.3%) | 0.308 |
| 16 | 3 (0–5) | 3 (0–7) | 0.960 | 3 (0–5) | 0 (0–4) | 0.007 | 13 (100%) | 12 (92.3%) | 0.308 |
| 24 | 2 (0–3) | 3 (1–5) | 0.186 | 2 (0–3) | 0 (0–2) | 0.010 | 12 (92.3%) | 12 (92.3%) | – |
| 32 | 2 (0–3) | 2 (0–6) | 0.579 | 1 (0–3) | 0 (0–2) | 0.139 | 9 (69.2%) | 7 (53.8%) | 0.420 |
| 40 | 2 (0–5) | 1 (0–4) | 0.608 | 1 (0–3) | 0 (0–4) | 0.069 | 2 (15.4%) | 4 (30.8%) | 0.352 |
| 48 | 1.5 (0–3) | 2 (0–2) | 0.857 | 1 (0–1) | 0 (0–0) | 0.381 | 0 | 1 (7.7%) | 0.308 |
| (B) Patients without additional vaginal repair | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| vNOTES (n = 9) | LESS (n = 10) | P value | vNOTES (n = 9) | LESS (n = 10) | P value | vNOTES (n = 9) | LESS (n = 10) | P value | |
| 0 | 5 (3–7) | 4.5 (3–7) | 1.0 | 3 (1–7) | 1.5 (0–5) | 0.133 | 9 (100%) | 9 (90.0%) | 0.330 |
| 8 | 3 (0–6) | 3 (1–6) | 0.780 | 3 (0–5) | 0.5 (0–4) | 0.156 | 9 (100%) | 9 (90.0%) | 0.330 |
| 16 | 3 (0–5) | 3 (1–7) | 0.842 | 3 (0–5) | 0 (0–1) | 0.008 | 9 (100%) | 9 (90.0%) | 0.330 |
| 24 | 2 (0–3) | 2.5 (1–5) | 0.315 | 1 (0–3) | 0 (0–1) | 0.013 | 8 (88.9%) | 9 (90.0%) | 0.937 |
| 32 | 1 (0–3) | 2 (0–6) | 0.400 | 0 (0–2) | 0 (0–2) | 0.278 | 6 (66.7%) | 6 (60.0%) | 0.764 |
| 40 | 2 (0–5) | 1 (0–4) | 0.606 | 2 (0–5) | 0 (0–1) | 0.167 | 1 (11.1%) | 3 (30.0%) | 0.313 |
| 48 | 1.5 (0–3) | 2 (0–2) | 0.857 | 1.5 (0–3) | 0 (0–0) | 0.381 | 0 | 1 (10.0%) | 0.330 |
PCA patient-controlled analgesia, LESS laparo-endoscopic single-site, vNOTES vaginal natural orifice transluminal endoscopic surgery