title: Early postoperative pain after keyless abdominal rope-lifting surgery.
abstract: OBJECTIVE
  Keyless abdominal rope-lifting surgery is a novel, gasless, single-incision laparoscopic surgical technique. In this study we aimed to compare the postoperative pain from keyless abdominal rope-lifting surgery with carbon dioxide laparoscopy performed for benign ovarian cysts.
  
  
  METHODS
  During a 20-month period, 77 women underwent surgery for a benign ovarian cyst. Keyless abdominal rope-lifting surgery and conventional carbon dioxide laparoscopy techniques were used for the operations in 32 women and 45 women, respectively. The 2 operative techniques were compared with regard to demographic characteristics; preoperative, intraoperative, and postoperative data including early postoperative pain scores; and frequency of shoulder pain and analgesic requirements.
  
  
  RESULTS
  Data regarding demographic characteristics, preoperative findings, cyst diameters and rupture rates, intra-abdominal adhesions, intraoperative blood loss, and postoperative hospital stay did not differ between groups (P > .05). However, the mean operative and abdominal access times were significantly longer in the keyless abdominal rope-lifting surgery group (P < .05). Visual analog scale pain scores at initially and at the second, fourth, and 24th hours of the postoperative period were significantly lower in the keyless abdominal rope-lifting surgery group (P < .05). Similarly, keyless abdominal rope-lifting surgery caused significantly less shoulder pain and additional analgesic use (P < .05).
  
  
  CONCLUSIONS
  Keyless abdominal rope-lifting surgery seems to cause less pain in the management of benign ovarian cysts in comparison with conventional carbon dioxide laparoscopy.
authors.affiliation: Department of Obstetrics and Gynecology, Kafkas University School of Medicine, Kars, Turkey.
authors.forename: Kahraman
authors.initials: K
authors.lastname: Ülker
authors.affiliation: Department of Anesthesia and Reanimation, Kafkas University School of Medicine, Kars, Turkey.
authors.forename: Ürfettin
authors.initials: Ü
authors.lastname: Hüseyinoğlu
authors.affiliation: Department of Obstetrics and Gynecology, Kafkas University School of Medicine, Kars, Turkey.
authors.forename: Melek
authors.initials: M
authors.lastname: Çiçek
mesh_terms: D000328:Adult; D002245:Carbon Dioxide; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D017770:Lifting; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery*; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D011028:Pneumoperitoneum, Artificial; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D002245:Carbon Dioxide
keywords: Laparoscopic surgery; Minimal access surgical procedures; Ovarian cysts; Scarless; Single port; Visual analog pain scale
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