title: Scar Pain, Cosmesis and Patient Satisfaction in Laparoscopic and Open Cholecystectomy.
abstract: OBJECTIVE
  To compare patient-satisfaction, scar-pain and cosmesis between laparoscopic and open-cholecystectomy.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Khyber Teaching Hospital, Peshawar, from August 2012 to May 2014.
  
  
  METHODS
  A total of 400 patients, who had undergone open or laparoscopic cholecystectomy in all units of the Surgical Department, were included. Data was collected on questionnaires given and read to the patients along with counselling and information regarding scar-pain using visual analog score, and satisfaction and cosmesis on a 0 - 10 scale, by a medical professional in the patients' native language. This was done postoperatively on patients' follow-up visits at 1 and 4 weeks.
  
  
  RESULTS
  Mean scar pain score at 1 and 4 weeks postoperatively was higher for open-cholecystectomy; 4.96 ±1 and 0.96 ±1, compared to 2.24 ±0.6 and 0, respectively for laparoscopic-cholecystectomy (p < 0.001 and < 0.001). Cosmesis was higher for laparoscopic-group; 8.6 ±1.2 vs. 6.2 ±1.46 for open-cholecystectomy (p < 0.001). Patient-satisfaction was higher for laparoscopic-cholecystectomy; 9.28 ±1.5 vs. 8.32 ±2.3 for open-cholecystectomy (p < 0.001). Mean-cosmesis score was higher for laparoscopic-cholecystectomy for those younger than 40, females and unmarried. Mean patient-satisfaction score was higher for those older than 40 years who had undergone open-cholecystectomy, women who had undergone laparoscopic-cholecystectomy and for unmarried patients who had laparoscopic-cholecystectomy.
  
  
  CONCLUSIONS
  Overall patient-satisfaction and cosmesis scoring was higher for laparoscopic-cholecystectomy especially among females, unmarried and younger than 40 years. Patients of 40 years and older had greater satisfaction scoring for open-cholecystectomy. Therefore, laparoscopic-cholecystectomy should be favoured in females and unmarried patients and those younger than 40 years.
authors.affiliation: Department of Surgery, Surgical D Unit, Khyber Teaching Hospital, Peshawar.
authors.forename: Muhammad Salman
authors.initials: MS
authors.lastname: Rafiq
authors.affiliation: Department of Surgery, Surgical D Unit, Khyber Teaching Hospital, Peshawar.
authors.forename: Mah Muneer
authors.initials: MM
authors.lastname: Khan
mesh_terms: D000328:Adult; D000368:Aged; D001828:Body Image / Q000523:psychology*; D002763:Cholecystectomy / Q000379:methods*; D017081:Cholecystectomy, Laparoscopic / Q000379:methods* / Q000523:psychology; D002921:Cicatrix; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D005705:Gallbladder Diseases / Q000523:psychology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain; D017060:Patient Satisfaction; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D011795:Surveys and Questionnaires; D016896:Treatment Outcome