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Clinical Trial
. 2012 May;206(5):438.e1-6.
doi: 10.1016/j.ajog.2012.01.036. Epub 2012 Feb 1.

Effect of surgical approach on physical activity and pain control after sacral colpopexy

Sarah A Collins  1 , Paul K Tulikangas, David M O'Sullivan
Affiliations
Clinical Trial

Effect of surgical approach on physical activity and pain control after sacral colpopexy

Sarah A Collins et al. Am J Obstet Gynecol. 2012 May.

Abstract

Objective: We sought to compare recovery of activity and pain control after robotic (ROB) vs abdominal (ABD) sacral colpopexy.

Study design: Women undergoing ROB and ABD sacral colpopexy wore accelerometers for 7 days preoperatively and the first 10 days postoperatively. They completed postoperative pain diaries and Short Form-36 questionnaires before and after surgery.

Results: At 5 days postoperatively, none of the 14 subjects in the ABD group and 4 of 28 (14.3%) in the ROB group achieved 50% total baseline activity counts (P = .283). At 10 days, 5 of 14 (35.7%) in the ABD group and 8 of 26 (30.8%) in the ROB group (P = .972) achieved 50%. Postoperative pain was similar in both groups. Short Form-36 vitality scores were lower (P = .017) after surgery in the ABD group, but not in the ROB group.

Conclusion: Women undergoing ROB vs ABD sacral colpopexy do not recover physical activity faster, and pain control is not improved.

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