Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen

Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen

Bibliographic Details
Main Author: McCarthy, Tara
Language:English
Published: Kent State University Honors College / OhioLINK 2014
Subjects:
Public Health
Health Care
Gynecology
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1399632027
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-ksuhonors13996320272021-08-03T06:24:36Z Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen McCarthy, Tara Public Health Health Care Gynecology Anecdotally, clinicians and patients report less pain and quicker recovery following robotic-assisted hysterectomy (RAH) compared to laparoscopic hysterectomy (LAH). The primary purpose of this study was to examine patient outcomes between surgical routes while accounting for use of intra-operative intravenous acetaminophen (IV ACTM). A retrospective chart evaluation of n=248 patients who underwent RAH or LAH between January 1, 2010 and July 1, 2013 was conducted. Patients were matched by propensity scores for membership into four groups. The primary outcomes measured included opioid consumption, surgery time, estimated blood loss (EBL), and Post Anesthesia Care Unit length of stay (PACU LOS). A 2 x 2 factorial ANOVA was performed to compare the effects of RAH versus LAH conducted with and without IV ACTM. The combination of RAH and IV ACTM significantly reduced surgery time (p<0.05). Significant differences (p<0.001) were also found in EBL in patients who underwent RAH compared to patients who underwent LAH, regardless of IV ACTM administration. No statistically significant difference was found in morphine equivalents across groups. The combination of RAH and IV ACTM also significantly decreased (p<. 05) PACU LOS. There is evidence that the combination of RAH and IV ACTM reduced surgery time and PACU LOS, which merits further investigation of the relationship between RAH and IV ACTM. 2014-05-14 English text Kent State University Honors College / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1399632027 http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1399632027 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Public Health
Health Care
Gynecology
spellingShingle Public Health
Health Care
Gynecology
McCarthy, Tara
Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen
author McCarthy, Tara
author_facet McCarthy, Tara
author_sort McCarthy, Tara
title Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen
title_short Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen
title_full Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen
title_fullStr Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen
title_full_unstemmed Comparing Robotic-Assisted and Laparoscopic Hysterectomy Conducted with and without Intravenous Acetaminophen
title_sort comparing robotic-assisted and laparoscopic hysterectomy conducted with and without intravenous acetaminophen
publisher Kent State University Honors College / OhioLINK
publishDate 2014
url http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1399632027
work_keys_str_mv AT mccarthytara comparingroboticassistedandlaparoscopichysterectomyconductedwithandwithoutintravenousacetaminophen
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