Prospective Evaluation of Quality of Life in Total versus Supracervical Laparoscopic Hysterectomy

Jon I. Einarsson, Yoko Suzuki, Thomas T. Vellinga, Gudrun M. Jonsdottir, Magnus K. Magnusson, Rie Maurer, Honami Yoshida, Brian Walsh

Research output: Contribution to journalArticlepeer-review

Abstract

Study Objective: To evaluate and compare recovery times and quality of life (QOL) in patients undergoing a total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LSH). Design: Patients underwent either a TLH or LSH. After surgery, patients maintained a daily log documenting pain, nausea, use of pain medications, and return to daily activities. They also completed a QOL questionnaire (SF-36) before and after surgery. Design Classification: Prospective cohort study (Canadian Task Force Classification II-1). Setting: University teaching hospital. Patients: A total of 122 women undergoing laparoscopic hysterectomy. Measurements and Main Results: A total of 122 women underwent TLH (n = 71) or LSH (n = 51) for benign indications from February 2008 to January 2010. There was a significantly higher postoperative improvement of QOL scores in the LSH group in 6 of 10 questionnaire categories and summary scores, including physical functioning (p =03), role physical (p =002), and bodily pain (p =03). There were no significant differences in use of pain medications, level of pain, level of nausea, or return to normal activities. Conclusion: LSH appears to provide greater improvement in short-term postoperative QOL compared with TLH. No significant differences were found in postoperative pain or return to daily activities.

Original languageEnglish (US)
Pages (from-to)617-621
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Volume18
Issue number5
DOIs
StatePublished - Sep 2011
Externally publishedYes

Keywords

  • Hysterectomy
  • Laparoscopic
  • Supracervical

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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