Academic Journal
Effects of Virtual Reality on Postoperative Pain Management Following Minimally Invasive Gynecologic Surgery: Randomized Controlled Trial.
| Τίτλος: | Effects of Virtual Reality on Postoperative Pain Management Following Minimally Invasive Gynecologic Surgery: Randomized Controlled Trial. |
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| Συγγραφείς: | Hu Q; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China., Chen L; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China., Zhu Y; The First People's Hospital of Tianmen City in Hubei province, Tianmen, Hubei Province, China., Xiang T; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China., Liang X; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China., Wu G; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China., Ding M; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China., Long T; Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China. |
| Πηγή: | JMIR formative research [JMIR Form Res] 2026 Jul 02; Vol. 10, pp. e92442. Date of Electronic Publication: 2026 Jul 02. |
| Τύπος έκδοσης: | Journal Article; Randomized Controlled Trial |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]- |
| Ιατρικοί όροι (MeSH): | Postoperative Pain*/therapy , Postoperative Pain*/psychology , Gynecologic Surgical Procedures*/adverse effects , Gynecologic Surgical Procedures*/methods , Minimally Invasive Surgical Procedures*/methods , Minimally Invasive Surgical Procedures*/adverse effects , Pain Management*/methods , Pain Management*/standards , Virtual Reality*, Pain Measurement/methods ; Anxiety/psychology ; Humans ; Female ; Adult ; Middle Aged ; China ; Laparoscopy |
| Περίληψη: | Background: Postoperative pain and anxiety remain common concerns after minimally invasive gynecologic surgery despite advances in surgical techniques and analgesic strategies. Virtual reality (VR) has been investigated as a potential nonpharmacological intervention for pain management; however, evidence in gynecologic postoperative settings is limited. Objective: This study aims to evaluate the efficacy and safety of VR technology compared with standard postoperative analgesia for pain and anxiety management in patients undergoing minimally invasive gynecologic surgery. Methods: This randomized controlled trial was conducted at Sun Yat-sen Memorial Hospital of Sun Yat-sen University in China. A total of 131 patients undergoing laparoscopy or combined hysteroscopy for benign gynecologic diseases were randomly assigned in a 1:1 ratio to either a VR group (n=68) or a control group (n=63). All patients received a standardized general anesthesia protocol intraoperatively. The control group received conventional analgesic therapy after surgery, and the VR group received a 20-minute VR intervention 6 hours postoperatively. The pain and anxiety levels were evaluated using a visual analog scale at 6 and 7 hours postoperatively. The primary outcome was the change in pain scores between 6 and 7 hours. Secondary outcomes included maximum pain score, anxiety score changes, length of hospital stay, hospitalization costs, and occurrence of adverse events. Analyses were performed according to the intention-to-treat principle. Results: There was no statistically significant difference in the primary outcome between the VR and control groups (mean difference 0.169, 95% CI -0.271 to 0.608; P=.45). Similarly, no significant differences were observed in the maximum pain score (mean difference 0.839, 95% CI -0.101 to 1.779; P=.08), and no improvement was observed in the anxiety score (mean difference 0.042, 95% CI -0.365 to 0.449; P=.84). No significant differences were found in length of hospital stay, hospitalization costs, or incidence of adverse events, including dizziness, nausea, and vomiting (all P>.05). Conclusions: A single 20-minute VR intervention did not provide additional analgesic or anxiolytic benefit compared with standard postoperative care after minimally invasive gynecologic surgery. VR was well tolerated, and its role in postoperative recovery requires further investigation. Trial Registration: Chinese Clinical Trial Registry ChiCTR2400091244; https://tinyurl.com/4b92a9td. (©Qiyue Hu, Liyuan Chen, Yuye Zhu, Tingting Xiang, Xia Liang, Guiyun Wu, Miao Ding, Tengfei Long. Originally published in JMIR Formative Research (https://formative.jmir.org), 02.07.2026.) |
| Contributed Indexing: | Keywords: VR; anxiety; gynecology; minimally invasive surgery; postoperative pain; randomized controlled trial; virtual reality |
| Entry Date(s): | Date Created: 20260702 Date Completed: 20260702 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13376855 |
| DOI: | 10.2196/92442 |
| PMID: | 42390916 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2561-326X |
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| DOI: | 10.2196/92442 |