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An investigation of pain experience and management following gynecological day surgery: Differences between open and closed surgery


Roberts, BL and Peterson, GM and Friesen, WT and Beckett, WG, An investigation of pain experience and management following gynecological day surgery: Differences between open and closed surgery, Journal of Pain and Symptom Management, 10, (5) pp. 370-377. ISSN 0885-3924 (1995) [Refereed Article]

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DOI: doi:10.1016/0885-3924(95)00016-R


This study aimed to investigate the pain and activity levels of patients for a 5-day period following gynecological day surgery. Patients recorded their degree of pain and activity on visual analogue scales in a diary; completed diaries were returned by 54.9% of the patients approached (106 of 193). The median age of the women was 28.5 years (range, 1555 years). Each procedure was classified as either open or closed surgery, depending upon whether an incision was necessary. Most (63.2%) of the patients required analgesics on the first morning after their surgery. Open surgery patients experienced significantly more pain for at least 3 postoperative days and were less active until the fifth day (P < 0.05 by Mann-Whitney tests). Drowsiness (47.2%), nausea (30.2%), and headache (30.2%) were the most common adverse effects experience in the first postoperative morning. The incidence of adverse effects declined over the five days, but a minority of patients still suffered with headache (14.2%), drowsiness (0.4%), sore throat (7.5%), and nausea (5.3%) on the fifth day following surgery. The percentage of patients who experienced constipation peaked at 19.8% on the second day, most likely reflecting the consumption of codeine-containing analgesics on the first and second postoperative days. While day surgery has an important role in many forms of gynecological surgery, the potential discomfort and recovery time following day surgery should not be understimated.

Item Details

Item Type:Refereed Article
Keywords:Day surgery; gynecology; outcome; pain; patient satisfaction
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Other health
Objective Field:Other health not elsewhere classified
UTAS Author:Peterson, GM (Professor Gregory Peterson)
UTAS Author:Friesen, WT (Dr William Friesen)
ID Code:5802
Year Published:1995
Web of Science® Times Cited:15
Deposited By:Pharmacy
Deposited On:1995-08-01
Last Modified:2011-06-02

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