Strengths and Limitations
Strengths of our study include the randomized design and large sample size, far exceeding the calculated sample size. The single laparoscopic reconstructive surgery with standardized surgical technique and standard postoperative regimen remained constant for the duration of the study period. Finally, the use of validated scales and a robust instrument for pain assessment enabled thorough analysis of patient pain.
On the other hand, the greatest limitation of the study is the generous analgesic policy on the day of the surgery that was provided at our department at time of the study period. However, care did not differ between the groups and opioid analgesics were discontinued well ahead of completion of the McGill questionnaire in the morning after the surgery. Although the standards of analgesic care after other surgeries have changed in time with a reduction in opioid use, the regimen was not changed for the women enrolled in the study. It is also possible that patients may have been able to feel their packing and be aware of their group allocation.