Postoperative Pain and Analgesic Requirements in Minimally Invasive Versus Open Gynaecological Procedures

Abstract

Background: One of the frequent problems after gynaecological surgery is postoperative pain which can have a significant impact on the patient's recovery, hospital stay and overall satisfaction. The use of minimally invasive gynaecological procedures such as Laparoscopic Surgery is growing in popularity as they have a smaller incision, less tissue trauma and quicker recovery time when compared to traditional open surgery. But there are clinically significant differences between the two surgical techniques in terms of intensity of postoperative pain and the number of analgesics needed to manage it effectively for patient care and better postoperative outcomes.

Study Design: Comparative cross-sectional study.

Place and Duration of Study: This study was carried out in the department of Gynecology and Obstetrics in a tertiary care centre for six months.

Methods: Twenty-five patients were included who underwent gynecological surgery. Patients were split into two groups: minimally invasive and open gynecological surgeries. Samples were calculated based on the formula recommended by WHO. Visual Analogue Scale (VAS) was used to determine the postoperative pain at 6, 12 and 24 hours. Other data such as analgesics requirements, length of hospital stay and postoperative complications were also collected and analyzed in SPSS version 26.

Results: Patients who had gone through minimally invasive procedures had significantly lower pain scores after the surgery, as opposed to the patients who had undergone open surgeries. Opioid analgesics use was significantly less in the minimally invasive group. Furthermore, the minimally invasive group had shorter hospital stays along with earlier mobilisation. Higher pain intensity was found in patients who underwent open gynecological surgery, as well as in those who used more analgesics after the surgery.

Conclusion: Minimally invasive gynecological procedures have been found to have less postoperative pain and require a smaller number of analgesics than open surgeries. These techniques result in quicker recovery, less hospital stay and increased comfort for the patient, and are a preferred surgical approach wherever possible.

Keywords: Postoperative Pain and Gynecological Surgery; Minimally Invasive Surgery and Open Surgery and Analgesic Requirement

Citation

Adeel Asghar. Postoperative Pain and Analgesic Requirements in Minimally Invasive Versus Open Gynaecological Procedures. WebLog J Women's Health. wjwh.2026.i1208. https://doi.org/10.5281/zenodo.22843025