Format

Send to

Choose Destination
See comment in PubMed Commons below
Obstet Gynecol. 2001 Mar;97(3):435-8.

Randomized double-masked comparison of radially expanding access device and conventional cutting tip trocar in laparoscopy.

Author information

1
Department of Obstetrics and Gynaecology, Prince of Wales Hospital, The Chinese University of Hong Kong, SAR, Hong Kong, People's Republic of China. sfyim@cuhk.edu.hk

Abstract

OBJECTIVE:

To compare postoperative wound pain associated with the radially expanding access device and the conventional disposable cutting-tip trocar.

METHODS:

Our randomized, double-masked, self-controlled study involved 34 women scheduled for laparoscopic adnexal surgery. In each, a 10-mm radially expanding access device was inserted laterally on one side of the lower abdomen and a size-matched disposable cutting-tip trocar was placed on the other side, using random assignment. Postoperative pain for each studied wound and patient satisfaction toward the wounds were assessed using a visual analog scale. Any bleeding complication associated with insertion of the trocar was also recorded.

RESULTS:

The radially expanding access device was associated with significant reduction in severity (median 1.4 versus 5.0, P <.001) and duration (median 11 versus 21 days, P <.001) of postoperative wound pain, shorter wound scars (14 versus 17 mm, P <.001), a lower incidence of wound induration (0 versus 9, P <.01), and a higher patient satisfaction (median 9.7 versus 6.2, P <.001). There were four inferior epigastric artery injuries, all at the conventional trocar wound.

CONCLUSION:

The radially expanding access device was associated with less postoperative wound pain and more patient satisfaction than the conventional cutting-tip trocar.

PMID:
11239652
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center