Effect of surgical approach on physical activity and pain control after sacral colpopexy.
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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In the study by Collins et al, all patients were provided restrictive instructions, and a minimum threshold of physical activity was not used as an inclusion criterion.
“Notably, all patients in the study by Collins et al21 were provided restrictive instructions, and a minimum threshold of physical activity was not used as an inclusion criterion.”
From Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery (2023) · cites this paper as [21]
We observed significantly faster rates of recovery time than were observed by Collins et al, where no participants undergoing abdominal or minimally invasive sacrocolpopexy recovered 90% of baseline activity by 14 days after surgery.
“We also observed significantly faster rates of recovery time than were observed by Collins et al,21 where no participants undergoing abdominal or minimally invasive sacrocolpopexy recovered 90% of baseline activity by 14 days after surgery.”
From Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery (2023) · cites this paper as [21]
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- Authors
- Collins, S. A., Tulikangas, P. K., & O'Sullivan, D. M.
- Affiliations
- Hartford Hospital (US)
- ORCID
- Collins, Sarah A.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 206
- Issue
- 5
- Pages
- 438.e1-438.e6
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W1998505973
- Cited by
- 29
- References
- 15
- Citations by year
- 2026: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 2
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Keywords
- sacrocolpopexy, robotic surgery, abdominal surgery, postoperative pain, accelerometry, quality of life, pelvic organ prolapse, Short Form-36
- MeSH terms
- Aged, Female, Humans, Middle Aged, Motor Activity, Narcotics, Pain Measurement, Postoperative Pain, Prospective Studies, Quality of Life, Surveys and Questionnaires, Robotics, Gynecologic Surgical Procedures, Vagina, Treatment Outcome, Recovery of Function, Pelvic Organ Prolapse
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