scholarly journals A Consult Is Just a Page Away: A Prospective Observational Study on the Impact of Jinxing on Call Karma in Neurosurgery

2017 ◽  
Vol 44 (4) ◽  
pp. 420-423
Author(s):  
Holger Joswig ◽  
Lauren Zarnett ◽  
David A. Steven ◽  
Martin N. Stienen
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Rating Scale ◽  
Study Groups ◽  
Numeric Rating Scale ◽  
Personal Beliefs ◽  
Significant Difference ◽  
Level Of Experience ◽  
The Impact ◽  
Numeric Rating

AbstractObjective: Our aim was to assess the impact of jinxing on “call karma” in neurosurgery. Methods: We conducted a prospective observational study on 15 residents on call for the neurosurgery service, recording the total number of admissions, consults, deaths encountered, surgeries performed, hours of sleep and subjective call rating on a numeric rating scale (NRS) of 0-10 in terms of general awfulness. Results: Some 204 on-call nightshifts were analyzed, of which 61 (29.9%) were jinxed and 143 (70.1%) were nonjinxed. Jinxes seemed to occur in clusters. The baseline parameters (experience, type of call coverage and superstition level) of the study groups were well balanced. A trend toward more surgeries was observed during jinxed nights, where residents slept significantly less (mean 147.8±96.2 vs. 180.9±106.1 min, p=0.037) and rated their on-call experience worse on the NRS (4.4±2.2 vs. 3.5±2.0, p=0.011), while there was no significant difference in number of admissions, consults or deaths. Conclusions: The act of jinxing ought to be avoided in the neurosurgical setting, as it might be potentially harmful to resident call karma, irrespective of level of experience, resources and personal beliefs.

A possible future for anaesthesia in breast surgery: thoracic paravertebral block and awake surgery. A prospective observational study

2020 ◽  
pp. 030089162095162
Author(s):  
Domenico P. Santonastaso ◽  
Annabella de Chiara ◽  
Emanuele Russo ◽  
Emiliano Gamberini ◽  
Leonardo Lucchi ◽  
...  
Keyword(s):  
Observational Study ◽  
General Anaesthesia ◽  
Prospective Observational Study ◽  
Rating Scale ◽  
Breast Surgery ◽  
Numeric Rating Scale ◽  
Paravertebral Block ◽  
Awake Surgery ◽  
Thoracic Paravertebral Block ◽  
Numeric Rating

Introduction: Quadrantectomy is a surgical procedure traditionally performed under general anaesthesia with intraoperative and postoperative opioid-based analgesia. The use of locoregional anaesthesia techniques in breast surgery has become widespread and allows excellent management of intraoperative and postoperative pain with reduced opioid consumption. We chose thoracic paravertebral block as regional anaesthesia technique in breast surgery to investigate the possibility of carrying out this surgery with the patient awake. Methods: A prospective observational study on 50 patients was designed. The primary outcome for this study was the possibility to carry out the surgery with only the paravertebral block associated with mild sedation without general anaesthesia. Forty minutes before the start of the surgery, an ultrasound-guided thoracic paravertebral block was performed at two thoracic levels, and for each level, 7 mL of ropivacaine 0.7% was injected. Sedation was obtained with target-controlled infusion of propofol. Results: Forty-nine patients underwent the operation awake; in one case, we had to place an I-gel and perform general anaesthesia. No patient needed intraoperative or postoperative opioids. The numeric rating scale, recorded at 0, 2, 6, 12, 24, and 36 hours, was greater than 3 in only five patients. Conclusions: We believe that if in the future we try to make quadrantectomy an intervention in which the anaesthesia is exclusively regional, therefore with a patient awake and collaborating, it will not be possible to ignore the use of thoracic paravertebral block.

scholarly journals P.045 Quality of life and treatment satisfaction in onabotulinumtoxinA-treated cervical dystonia patients: multicentre, prospective, observational study, posture

2016 ◽  
Vol 43 (S2) ◽  
pp. S32-S32
Author(s):  
M Petitclerc ◽  
M Bhogal ◽  
S Dhani ◽  
L Belle Blagrove
Keyword(s):  
Quality Of Life ◽  
Observational Study ◽  
Cervical Dystonia ◽  
Treatment Satisfaction ◽  
Prospective Observational Study ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Post Treatment ◽  
The Impact

Background: Health-related quality of life (HRQoL) data is valuable, but limited. This analysis describes the impact of onabotulinumtoxinA treatment on HRQoL and level of treatment satisfaction in cervical dystonia (CD) patients. Methods: A multicenter, prospective, observational study in CD patients initiating onabotulinumtoxinA treatment (NCT01655862); ≤8 treatments administered at the physician’s discretion. Primary measures (baseline, 4/8 weeks post-treatment, and before final treatment): pain numeric rating scale (PNRS) and cervical dystonia impact profile questionnaire (CDIP-58). Secondary measures (8 weeks post-treatment): patient/physician treatment satisfaction. Results: 61 patients (31.3-86.3 years old) were enrolled (efficacy cohort); majority had moderately severe CD (77.0%) and were female (77%). CDIP-58 domain and PNRS scores decreased from baseline, with significant changes (p<.0001) by 4 weeks post-treatment 3 (mean±SD): symptoms (-18.8±16.1), daily activities (-7.2±13.7), psychosocial sequelae (-17.4±13.4), and PNRS (-1.8±3.3). Most patients (78.0% and 94.4%) felt their condition was improved and majority of physicians (68.9% and 75.0%) indicated satisfaction with patients’ responses following treatments 1 and 2, respectively. 27 patients reported 56 treatment-related adverse events (52 resolved, 4 ongoing); none were serious. Conclusions: No new safety signals were identified. Patients and physicians appear to be satisfied with onabotulinumtoxinA treatment for CD. Results suggest that onabotulinumtoxinA treatment may help improve HRQoL.

scholarly journals A comparison of pain registration by Visual Analog Scale and Numeric Rating Scale – a cross-sectional study of primary triage registration

2020 ◽  
Author(s):  
Jofrid Kollltveit ◽  
Malin Osaland ◽  
Marianne Reimers ◽  
Magnus Berle
Keyword(s):  
Emergency Department ◽  
Visual Analog Scale ◽  
Rating Scale ◽  
Emergency Admission ◽  
Numeric Rating Scale ◽  
University Hospital ◽  
Analog Scale ◽  
Cross Sectional ◽  
Significant Difference ◽  
Numeric Rating

BackgroundPain is a subjective sensation; self-reporting is important for quantifying pain intensity. There are several different validated tools for this, such as Visual Analog Scale and Numeric Rating Scale. In the clinic, these terms are often used as equivalent. The objective of this study was to examine correlation and agreement between the pain registration tools in triage in an emergency department.Materials and MethodsThe study was performed in the Department of Emergency Medicine at Haukeland University Hospital in the period June-August 2019. We registered the pain score with two tools in 200 unselected patients in emergency admission with pain. In addition, we registrered gender, age, triage and general department affiliation.ResultsWe found a strong correlation between the pain registration tools by Spearmans correlation test (rho=0,930, p<0,001). There were no significant difference between the pain registration tools within the subgroups. Bland-Altman analysis show agreement between the two pain registration tools.ConclusionsIn an Emergency Department triage is it acceptable to use Visual Analog Scale and Numeric Rating Scale as equivalent, as long as the correct terminology is used.

Prospective observational study for the impact of short-term periodic intravenous steroid premedication for gastrointestinal cancer chemotherapy on bone metabolism.

2016 ◽  
Vol 34 (4_suppl) ◽  
pp. 523-523
Author(s):  
Atsushi Ishiguro ◽  
Michio Nakamura ◽  
Tetsuhito Muranaka ◽  
Satoshi Yuki ◽  
Taichi Murai ◽  
...  
Keyword(s):  
Observational Study ◽  
Bone Turnover ◽  
Bone Metabolism ◽  
Gastrointestinal Cancer ◽  
Prospective Observational Study ◽  
Type I Collagen ◽  
Reduction Rate ◽  
Type I ◽  
Significant Difference ◽  
The Impact

523 Background: Although intravenous glucocorticoid (GC) premedication (GCP) before chemotherapy (CTx) are frequently used to prevent nausea and vomiting for continuing comfortable CTx, the side effects of intermittent GCs on bone health have not yet been reported. So we designed a multicenter, prospective, observational study to evaluate the impact of periodic GCP on bone metabolism in gastrointestinal cancer (GIC) patients (pts). Methods: The eligibility criteria were as the follows: (i) histologically proven GIC. ; (ii) The duration of periodical GCP is weekly, biweekly, and triweekly. More over 4 weeks GC free intervals is not permissible. ; (iii) age over 20. The primary endpoint was to investigate the variations of bone mineral densities (BMD) at lumbar spine measured by dual energy x-ray absorptiometry (DEXA) and bone turnover biomarkers, cross-linked N-telopeptide of type I collagen (NTX) and bone alkaline phosphatase (BAP), between baseline (BL) and 16 weeks after starting CTx (16w). Results: From June 2013 to April 2015, 98 pts were enrolled. Two pts were not proven as GIC histologically. One patient (pt) was not measured on baseline DEXA. One pt was taken bisphosphonates already on BL point. Four pts were not administered CTx or GCP, and 16 pts were not measured BMD on 16w due to several reasons such as pts refusal, discontinuation of CTx, death and so on (74 pts were full analysis set). In 55 pts (74.3 % of FAS), the levels of BMD at 16w were decreased compared with BL and the average amount of BMD reduction rate was 5.83 % (-38.8 % to 31.1 %). Although no significant difference was found in the level of NTX between BL and 16w (p = 0.118), there was the significant increase of BAP level statistically (p = 0.006). There were also significant correlations between percent change in BMD and NTX, BMD and BAP, NTX and BAP (p = 0.037, 0.029, and 0.003, respectively). Conclusions: We found that periodic GCP in GIC pts caused the reduction of BMD and some influences for bone turnover. These results indicate that GCP might generate more serious osteoporosis of GIC pts during CTx. Further studies are necessary to illustrate the need to prevent GC induced osteoporosis in using GCP. Clinical trial information: 000011054.

Perbedaan Efektifitas Perawatan Luka Menggunakan Madu dengan Metronidazole Terhadap Tingkat Malodor dan Jumlah Eksudat Luka Maligna di RS. X

2007 ◽  
Vol 11 (2) ◽  
pp. 54-58
Author(s):  
Dudut Tanjung ◽  
Elly Nurachmah ◽  
Hanny Handiyani
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
Female Size ◽  
Topical Agent ◽  
Wound Exudate ◽  
Group Design ◽  
Consecutive Sampling ◽  
The Third ◽  
Significant Difference ◽  
Numeric Rating

AbstrakLuka maligna dengan tingkat malodor dan jumlah eksudat yang berlebihan dapat menyebabkan masalah ketidaknyamanan dan isolasi sosial sehingga berdampak negatif bagi kualitas hidup pasien. Penelitian ini bertujuan membandingkan efektifitas antara perawatan luka menggunakan madu dengan metronidazole dalam menurunkan tingkat malodor dan mengurangi jumlah eksudat luka maligna. Penelitian. Desain penelitian yang digunakan adalah kuasi eksperimen dengan non equivalent pretest-posttest controlled group design dan non equivalent posttest only controlled group design. Berdasarkan consecutive sampling diambil sampel sebanyak 12 responden, terdiri dari enam responden kelompok kontrol dan enam responden kelompok intervensi, dengan kriteria: luka maligna stadium lanjut, laki-laki dan perempuan berusia 23-59 tahun, luas luka = 4cm². Perawatan luka dengan madu menurunkan tingkat malodor menurut pasien berdasarkan Numeric Rating Scale (NRS) dari 6,0 sebelum intervensi menjadi 2,1 sesudah intervensi hari ke-6, sementara perawatan luka dengan metronidazole tingkat malodor dari 5,6 menjadi 4,6. Hasil uji t menunjukkan nilai p<0,05; pada perubahan tingkat malodor. Perawatan luka dengan madu menunjukkan peningkatan jumlah eksudat dari 66,6gr sesudah intervensi hari ke-3 menjadi 80,8gr hari ke-6, sementara perawatan luka dengan metronidazole menunjukkan peningkatan jumlah eksudat dari 44,5gr menjadi 51,1gr. Hasil uji t menunjukkan nilai p>0,05 pada perubahan jumlah eksudat. Peneliti menyimpulkan perawatan luka dengan madu lebih efektif dibandingkan dengan metronidazole menurunkan tingkat malodor. Sementara perawatan luka dengan madu dan metronidazole belum efektif mengurangi jumlah eksudat luka maligna. Para pengambil kebijakan di institusi pelayanan kesehatan perlu mengeluarkan kebijakan yang dapat mengakomodasi penggunaan madu sebagai agen topical perawatan luka maligna. AbstractMalodor and exudates of wounds in malignancy can cause problems of discomfort & social isolation for patients. Both of them can produce negative impact on their quality of life. The treatment of malignant wounds use the right topical agent is a major factor in reducing malodor and wounds exudates. A comparative study was conducted to evaluate the effectiveness of honey and metronidazole on malodor & exudates malignant wounds. A Quasi experimental with non equivalent pretest-posstest controlled group design and non equivalent posttest only controlled group design were used in this study. Twelve sample was taken by a consecutive sampling, consis of six patients of control group and six patients of intervention group with a final stage of malignancy, 23-59 years old in male and female, size of wound is = 4 cm2. The wounds which we treated with honey demonstrated a reduction in malodor from patient perspectives using a Numeric Rating Scale (NRS), from the mean score of malodor on onset was 6,0 and on the sixth days of the treatment, to 2,1. group, malodor also reduced from 5,6 before treatment and dropped to 4,6 after treatment. at test showed that there are a significant difference between honey and metronidazole in reducing malodor (p<0,05). On the other hand, the wounds treated with honey and metronidazole preduced more drainage. In the honey group, the increase in the amount of wound exudate was noticeable on the third days (66,6 gr) and the sixth days (80,8gr) after the treatment. While in the metronidazole group, the amount of wound exudate was increase on the third days (44,5 gr) and the sixth days (51,1gr) after the treatment. There are not statistically significant (p>0,05). The study concluded that the use of honey in the treatment of wounds in malignancy is more effective than metronidazole in reducing malodor patients perspectives. Base on findings, it is requested for decision makers in the healthcare institution to produce a policy that could accommodate usage of honey as a topical agent in the treatment of malignant wounds.

Impact of Vibroacoustic Sound Therapy on Dental Pain Relief

2021 ◽  
pp. 30-35
Author(s):  
Shivani Acharya ◽  
Rao U. Kiran ◽  
Abhilash Gokhale ◽  
Manjunatha . ◽  
Ananya Madiyal ◽  
...  
Keyword(s):  
Rating Scale ◽  
Small Sample Size ◽  
Pilot Project ◽  
Study Groups ◽  
Dental Pain ◽  
Numeric Rating Scale ◽  
Small Sample ◽  
Non Invasive ◽  
Sound Therapy ◽  
Significant Difference

Researchers are trying to find an alternative to the conventional methods of treatment for various pain associated ailments. Patients prefer pain killer as an immediate solution which is proven to have adverse reactions. Since vibroacoustic sound therapy has shown to have relieving effect on different forms of pain, the goal of the study was to find impact of the same using β-endorphin as biomarker, as this could be non-invasive protocol for dental pain management in the future. As a pilot project, 9 subjects of 20-40 years, clinically diagnosed with acute pulpal pain were considered and exposed to 3 frequency groups (low, moderate and high). Impact of vibroacoustic therapy was clinically evaluated by analyzing human salivary β-endorphin using Elisa kit and pain rated by the patients through a numeric rating scale. Statistical analysis performed showed that there is no significant difference for the entire population (P=0.0526), in (P= 0.3618, 0.8264, 0.0671) and between (P=0.4637) the study groups. It would be misleading to take inference due to the small sample size and other observations made.

scholarly journals Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion

2020 ◽  
Author(s):  
Grace Yuliona Sirtin Tumakaka ◽  
Nani Nurhaeni ◽  
Dessie Wanda
Keyword(s):  
Rating Scale ◽  
Intervention Group ◽  
Numeric Rating Scale ◽  
Catheter Insertion ◽  
Control Group ◽  
Control Groups ◽  
Intravenous Catheter ◽  
Significant Difference ◽  
And Control ◽  
Numeric Rating

This study aimed to identify the effect of distraction technique involving squeezing a squishy object on pain in children during intravenous catheter insertion. In this work, the control group posttest-only quasiexperimental design was used. This study involved 50 participants aged 3-15 years and was assigned into either intervention or control group. The intervention group was provided with a squishy object to squeeze as a form of distraction during intravenous catheter insertion, whereas the control group received the standard intervention. The pain was measured by using the Wong- Baker Faces Scale for 3-8 years old and the Visual Analog Scale or Numeric Rating Scale for children older than 8 years. Mann–Whitney analysis reveals significant difference in pain level between the intervention and control groups (P<0,001; α=0.05). The distraction technique involving squeezing a squishy object effectively reduced pain in children during intravenous catheter insertion and is recommended for pain management in nursing care in the pediatric ward.

scholarly journals The Evaluation Point-of-Care Ultrasound in the Post-Anesthesia Unit–A Multicenter Prospective Observational Study

2021 ◽  
Vol 10 (11) ◽  
pp. 2389
Author(s):  
Davinder Ramsingh ◽  
Sumit Singh ◽  
Cecilia Canales ◽  
Elyse Guran ◽  
Zach Taylor ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Observational Study ◽  
Acute Care ◽  
Prospective Observational Study ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Arterial Blood ◽  
Evaluation Point ◽  
Significant Difference ◽  
The Impact

Introduction: Point-of-care ultrasound (POCUS) is the most rapidly growing imaging modality for acute care. Despite increased use, there is still wide variability and less evidence regarding its clinical utility for the perioperative setting compared to other acute care settings. This study sought to demonstrate the impact of POCUS examinations for acute hypoxia and hypotension occurring in the post-anesthesia care unit (PACU) versus traditional bedside examinations. Methods: This study was designed as a multi-center prospective observational study. Adult patients who experienced a reduced mean arterial blood pressure (MAP < 60mmHG) and/or a reduced oxygen saturation (SpO2 < 88%) in the PACU from 7AM to 4PM were targeted. POCUS was available or not for patient assessment based on PACU team training. All providers who performed POCUS exams received standardized training on cardiac and pulmonary POCUS. All POCUS exam findings were recorded on a standardized form and the number of suspected mechanisms to trigger the acute event were captured before and after the POCUS exam. PACU length of stay (minutes) across groups was the primary outcome. Results: In total, 128 patients were included in the study, with 92 patients receiving a POCUS exam. Comparison of PACU time between the POCUS group (median = 96.5 min) and no-POCUS groups (median = 120.5 min) demonstrated a reduction for the POCUS group, p = 0.019. Hospital length of stay and 30-day hospital readmission did not show a significant difference between groups. Finally, there was a reduction in the number of suspected diagnoses from before to after the POCUS examination for both pulmonary and cardiac exams, p-values < 0.001. Conclusions: Implementation of POCUS for assessment of acute hypotension and hypoxia in the PACU setting is associated with a reduced PACU length of stay and a reduction in suspected number of diagnoses.

scholarly journals PENGARUH PEMBERIAN KOMPRES JAHE TERHADAP INTENSITAS NYERI GOUT ARTRITIS PADA LANSIA DI PSTW BUDI SEJAHTERA KALIMANTAN SELATAN

2017 ◽  
Vol 5 (2) ◽  
pp. 90
Author(s):  
Senna Qobita Dwi Putri ◽  
Devi Rahmayanti ◽  
Noor Diani
Keyword(s):  
Treatment Group ◽  
Rating Scale ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Control Group ◽  
P Value ◽  
Probability Sampling ◽  
And Control ◽  
The Impact ◽  
Numeric Rating

ABSTRAKGout artritis merupakan penyakit peradangan pada persendian dimana dampak yang di timbulkan berupa nyeri. Berdasarkan data Riskesdas tahun 2013, Kalimantan Selatan menempati urutan ke 17 penderita Gout artritis sebesar 9.5 %. Tujuan Penelitian ini yaitu untuk mengetahui pengaruh pemberian kompres jahe terhadap intensitas nyeri gout artritis pada lansia di PSTW Budi Sejahtera Provinsi Kalimantan Selatan. Penelitian ini merupakan penelitian Quasy Eksperimental dengan dua kelompok Pretes-postest yang terbagi kelompok perlakuan pemberian kompres jahe dan kelompok kontrol pemberian kompres hangat. Teknik Sampling menggunakan Probability Sampling dan jumlah sampel sebanyak 32 orang lansia. Instrument yang digunakan adalah Kompres jahe, Kompres hangat, dan Lembar Observasi Skala nyeri Numerik. Hasil Penelitian Menunjukkan bahwa terdapat pengaruh pemberian kompres jahe (P-value = 0,00), Sehingga dapat disimpulkan H0 ditolak, dimana terdapat pengaruh pemberian kompres jahe terhadap intensitas nyeri gout artritis pada lansia di PSTW Budi Sejahtera Kalimantan Selatan.Kata-kata kunci: kompres jahe, intensitas nyeri, lansia.ABSTRACKGout artritis is a inflammatory disease where the impact caused form in the of pain. Based of information from the Riskesdas in 2013, south Kalimantan Ranks seventh gout arthritis sufferers 9.5%. the purpose of this study is to know the effect of ginger compress on the intensity of gout arthritis pain in elderly in PSTW Budi Sejahtera South Kalimantan. This research is an Quasy Eksperimental two goup pretest-postest The study was divided into treatment group of ginger compress and control group of warm compress. The sampling technique using probability sampling and sample 32 the number of older people. The instruments used were in the form of ginger compress, warm compress, and observational numeric rating scale. The results showed is a effect of ginger compress (P-value = 0,00), so it could be concluded that H0 was rejected, where there is effect of ginger compress on the intensity of gout arthritis pain in elderly in PSTW Budi Sejahtera South Kalimantan.Keywords : ginger compress, pain intensity, elderly

scholarly journals Opioid free pain management in ambulatory hemorrhoidectomy reduces pain

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
F Haak ◽  
L Merlo ◽  
B Dursunoglu ◽  
M von Flüe ◽  
D Steinemann
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Urinary Retention ◽  
Rating Scale ◽  
Outpatient Surgery ◽  
Postoperative Nausea And Vomiting ◽  
Early Discharge ◽  
Numeric Rating Scale ◽  
Significant Difference ◽  
The Impact

Abstract Objective Outpatient hemorrhoid surgery is a topic of growing importance with a need of modifications to pain management to enable early discharge. Opioid free anesthesia and analgesia (OFAA) has the goal to reduce postoperative pain as well as to improve discharge circumstances. The impact of OFAA on patients receiving ambulatory hemorrhoidectomy is investigated. Methods A retrospective cohort study on ambulatory hemorrhoidectomy between 2018 and 2020 was performed and patients that did and did not receive OFAA were compared. In the OFAA group patients received spinal anesthesia with Takipril and hyperbaric technique. Additionally Metamizole 500mg i.v. and Paracetamol 1g i.v. was used. In the non-OFAA group opioids were administered intravenously (fentanyl or remifentanyl) and sublingual (buprenorphin). Primary endpoint was pain measured according to a numeric rating scale (NRS) one hour postoperatively. Secondary endpoints were pain 24 hours postoperative, duration of hospital stay, urinary retention, postoperative nausea and vomiting (PONV), overall morbidity, and re-admission. Wilcoxon Rank-Sum test was performed to search for differences between the outcomes. Results 117 patients were included in the analysis. 41 percent of the patients were female. The mean age was 54±14 years. 40 patients did not receive opioids perioperatively (OFAA group) and 77 did (non-OFAA group). The non-OFAA group received a mean dose of 23.3±17.9 mg morphine equivalent. Median NRS score one hour postoperatively was 0 (interquartile range 0-1) for OFAA and 2 (0-4) for non-OFAA (p = 0.01). The median NRS score 24 hours postoperatively was 1 (0-2) for OFAA and 1 (0-3) for non-OFAA (p = 0.40). There were 3 patients (7.5%) with urinary retention in OFAA and 5 patients (6.5%) in non-OFAA(p = 0.84).No patient had PONV in OFAA and 5 (6.5%) in non-OFAA (p = 0.10). The overall morbidity was 5 (12.5%) in OFAA and 16 (20.8%) in non-OFAA (p = 0.27). There were two readmissions (5%) in OFAA and 6 (7.8%) in non-OFAA (p = 0.58). Conclusion There is a significant difference in pain one hour postoperatively between OFAA and non-OFAA with a clear benefit of not administering opioids. Opioids may trigger pelvic floor spasms and disimprove postoperative pain. In the context of outpatient surgery, we recommend an opioid free operation to reduce postoperative pain and improve discharge prerequisites.

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