Postoperative Pain Score of Laparoscopic Gynecological Surgeries

Study Overview
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Brief Summary
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In this study, it was aimed to compare the embryonic route, the umbilicus, and the sub-umbilicus incision in terms of postoperative pain scoring. For this purpose, in laparoscopic hysterectomies performed for benign reasons, it is planned to measure the pain score at the 8th hour and 1st day postoperatively in the umbilicus and subumbilical incision. Visual analog scoring system will be used for pain scoring.

Detailed Description
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In this prospective randomized study, Baskent University Adana Dr. Turgut Noyan Application and Research Center for benign reasons (myomas that cause abnormal uterine bleeding, resistant to medical and hysterescopic surgery, treatment-resistant adenomyosis in which the uterus reaches 12 weeks of gestation, recurrent endometrial hyperplasia, endometriosis, stage 1 endometrial cancers that only underwent hysterectomy) in laparoscopic hysterectomies; at the entrance to the abdomen, it is planned to apply the umbilicus, which is the anatomical route, to some of the patients, and to the other part of the sub-umbilicus incision. It will be compared in terms of pain score on the 8th hour and 1st day after surgery. The minimum quorum for each group was determined by calculating 41 and taking a total of 82 patients. The simple randomization technique will be applied in the distribution to the study sets. Based on the studies, it is thought that the anatomical path may be less painful.

Official Title
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The Effect of the Umbilicus and Sub-umbilicus Incisions Used in Laparoscopic Gynecological Surgeries on the Postoperative Pain Score

Conditions
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Surgical Incision, Gynecologic Surgery, Postoperative Pain

Intervention / Treatment
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* Procedure: laparoscopic incision


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Patients who underwent laparoscopic hysterectomy for benign reasons Stage 1 endometrial cancers that only underwent hysterectomy Exclusion Criteria: Malign disorders Uterus larger than 12 weeks of gestation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: umbilical incision<br>Placing the laparoscopic trocar by cutting the umbilicus directly at the entrance to the abdomen | Procedure: laparoscopic incision<br>* laparoscopic umbilical trocar entry pathways<br>|
| Active Comparator: subumbilical incision<br>Placing a laparoscopic trocar by making a sub-umbilicus incision at the entrance to the abdomen | Procedure: laparoscopic incision<br>* laparoscopic umbilical trocar entry pathways<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative pain score | The umbilicus, which is the embryonic pathway used in laparoscopic surgery, is expected to cause less postoperative pain.In the Visual Analog Score to be used as the pain measurement criterion, '0' indicates no pain, while '10' defines the most severe pain. | 8 hour | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| postoperative pain score after 24 hour | The umbilicus, which is the embryonic pathway used in laparoscopic surgery, is expected to cause less postoperative pain.In the Visual Analog Score to be used as the pain measurement criterion, '0' indicates no pain, while '10' defines the most severe pain. | 24 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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laparoscopic surgery, umbilical incision, postoperative pain score