Port Size and Post-Operative Pain Perception by Patients

Minimally invasive approaches trade a single longer incision for 4-5 smaller incisions that
allow abdominal access and abdominal insufflation through "ports". The increase in operative
times is mostly due to the need to pass suture, needles, cameras and instruments through the
abdominal ports. While, it is intuitive that smaller abdominal ports will result in less pain
at the incision site, the port size is also limited by instrument size and the size of the
needle. When ports are smaller, it can take a little more time for a needle or instrument to
be passed into the port.

There is a paucity of research comparing different port sizes as they relate to participate
pain and operative time especially in a randomized controlled trial setting. The
investigators goal would be to determine if there is a difference in pain perception by
patients when the assistant port size varies by 50% (8 mm to 12 mm).

Inclusion Criteria:

- laparoscopic surgery for pelvic organ prolapse.

- proficiency in English .

Exclusion Criteria:

- Not proficiency in English

- Previous participation/randomization in the study at a previous visit

- Pregnant women cannot participate

- History of abdominal wall pain

- Chronic pain patients