POSTOPERATIVE PAIN IN PATIENTS FOLLOWING CONVENTIONAL ABDOMINAL AND ENDOSCOPIC OPERATIVE HYSTERECTOMY - A COMPARATIVE-STUDY

The purpose of the present study is to determine differences in the po stoperative character of pain between two study groups undergoing diff erent techniques of hysterectomy. Therefore we examined 42 women. 21 w omen underwent combined laparoscopic and vaginal hysterectomy and 21 a bdominal hysterectomies have been performed. AU patients received on r equest Piritramid i.m. exclusively as an analgesic. The following fact ors have been included: 1. location of pain, 2. duration of pain, 3. m aximum of pain, 4. analgesic requirements, 5. return to normal physica l activities. With regard to our findings it seems to be certain that endoscopic operative hysterectomy compared to abdominal hysterectomy s hows diminished duration of pain and reduction in the total amount of analgesic usage, as well as a shortened time to return to normal physi cal activities.