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Postoperative pain and perceptions of recuperation after suture‐ and mesh‐based apical sacrospinous ligament suspension
Author(s) -
Botros Carolyn,
Letko Juraj,
GafniKane Adam,
Botros Sylvia,
Lozo Svjetlana,
Sand Peter
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12246
Subject(s) - medicine , surgery , fibrous joint , postoperative pain , pain score , retrospective cohort study , ligament , anesthesia
Objective To compare the incidence of postoperative pain after suture‐ or mesh‐based sacrospinous ligament suspension ( SSLS ). Methods In a retrospective study, data were reviewed from patients who underwent suture‐ or mesh‐based SSLS at a center in Skokie, IL , USA , between 2006 and 2011. The primary outcome was self‐reported postoperative pain scores (range 0–10) on the day of surgery (day 0) and 1 day later (day 1). Results Overall, 90 women were included in the study: 66 underwent mesh‐based SSLS and 24 underwent suture‐based SSLS . Day‐0 mean pain score was 4.65 ± 1.57 in the mesh group and 5.24 ± 1.44 in the suture group (adjusted P= 0.159). Day‐1 mean pain score was 4.06 ± 1.78 in the mesh group and 4.31 ± 1.21 in the suture group (adjusted P= 0.596). Conclusion Postoperative pain did not differ between patients undergoing suture‐based and those undergoing mesh‐based SSLS . These observations should be considered in preoperative counseling of patients.