Evidence map›Paper›PMID 29238155›Full record

Trial reportJSLS : Journal of the Society of Laparoendoscopic Surgeons

Postoperative Pain After Single-Site Versus Multiport Hysterectomy.

Chris Kliethermes, Kelly Blazek, Kausar Ali, J Biba Nijjar, Stephanie Kliethermes, Xiaoming Guan

Open access · hybridAbstract readClinical TrialComparative Study
In one paragraph

Trial report in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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  11. Article
  12. Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  13. Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  14. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Chris KliethermesDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
Kelly BlazekDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
Kausar AliDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
J Biba NijjarDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
Stephanie KliethermesDepartment of Orthopedics, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Xiaoming GuanDepartment of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA.
Baylor College of Medicine · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesWith advances in laparoscopic surgery, the goal of surgeons and patients is to minimize pain to allow for faster recovery and return to normal daily activities. One of these advances is single-site surgery. In this study, we compared postoperative pain in laparoendoscopic single-site surgery (LESS) to that in traditional multiple-incision hysterectomy.

methodsSeventy patients were selected for this prospective cohort study, with 35 undergoing multiple-incision and 35 undergoing LESS hysterectomy. All patients were included who were undergoing hysterectomy with the primary surgeon. All multiport hysterectomies were performed laparoscopically. Six patients underwent LESS hysterectomy and 29 underwent robotic single-site surgery (rLESS). Patients recorded pain levels for 3 weeks after surgery on a variety of measures, including overall and incisional pain. Linear mixed effects models for repeated measures were used for all multivariate analyses, with an unstructured covariance matrix accounting for correlation between time points.

resultsOverall, across all time points, there was an average reduction in pain by 1.26 (SD 0.69) points in the single-site group (

conclusionBased on the results, it is likely that single-site hysterectomy leads to less postoperative pain and achieves a lower pain score faster than multiport surgery. A randomized control trial is necessary to confirm these results before accepting them in clinical practice.

Indexed as

AdultAgedFemaleFollow-Up StudiesHumansHysterectomyLaparoscopyLinear ModelsMiddle AgedPain MeasurementPostoperative PainProspective StudiesRobotic Surgical ProceduresTreatment Outcomehysterectomypainsingle-incision

Identifiers

PMID29238155
PMCPMC5721145
OpenAlexW2771688900

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.