Fascial Closure Technique After Gynecologic Laparoscopic Surgery and Postoperative Pain

Fascial Closure Technique After Gynecologic Laparoscopic Surgery and Postoperative Pain: a Randomized Controlled Trial

Our study aims to determine postoperative pain outcomes when comparing port site > 10 mm fascial closure with traditional direct closure versus use of laparoscopic fascial closure device in patients undergoing minimally invasive gynecologic surgery via laparoscopic or robotic techniques. Pain outcomes will be measured using the visual analog scale.

Inclusion Criteria:

• Patients aged 18 or older.
• Any patient undergoing laparoscopic gynecologic surgery with one left upper quadrant port site > 10 mm via either robotic or traditional laparoscopic techniques for any indication including abnormal bleeding, pelvic pain, gynecologic cancer, uterine fibroids, etc. Procedures performed will include but not be limited to hysterectomy, bilateral or unilateral salpingoophorectomy, ovarian cystectomy, and pelvic floor support procedures.
• Patients willing and able to give informed consent.
• Patients capable and willing to return for follow up and complete pain diaries.

Exclusion Criteria:

• Patients unable to return for follow up.
• Patients undergoing laparoscopic surgery that requires conversion to laparotomy.
• Patients undergoing laparoscopic surgery that does not require a port site >10 mm.