Abstract
Aims: To compare the postoperative pain and satisfaction of the patients who operated with total laparoscopic and abdominal hysterectomy methods for benign gynecologic conditions. Methods: This study was a prospective randomized trial. Visual Analoque Scala and Patient Satisfaction Score Scalas were used to evaluate patients postoperative satisfaction rate. Seventyone patients who operated by total laparoscopic hysterectomy compared with 68 patients who operated by total abdominal hysterectomy for benign gynecologic indications. Results: The groups were similar in respect to age, race, gravidy and parity status and uterine weight. Hospital stay, need for analgesic use, visual analoque scala pain scores in 12, 24 and 36 hours and patient satisfaction scores in 24,48 hours and 1 st weeks, blood loss were statistically less in laparoscopic hysterectomy group than abdominal hysterectomy group (p<0,001). Conclusion: Laparoscopic hysterectomy was a superior method than abdominal hysterectomy on short term follow-up, patients postoperative pain and satisfaction of the operation scar.
Highlights
More than 70% of hysterectomies are performed for benign surgical indications, including fibroids (33%), uterine prolapse (28%), menorrhagia (21%), and pelvic pain (3%) [1]
Hospital stay; need for analgesic use; visual analogue scale (VAS) pain scores at 12, 24, and 36 hours; patient satisfaction scores at 24 and 48 hours and one week; and blood loss were statistically lower in the laparoscopic hysterectomy group than in the abdominal hysterectomy group (p
Our study found that both operation time and hospital stay were shorter in the laparoscopic hysterectomy group
Summary
More than 70% of hysterectomies are performed for benign surgical indications, including fibroids (33%), uterine prolapse (28%), menorrhagia (21%), and pelvic pain (3%) [1]. Advanced laparoscopic procedures are increasingly being utilized in gynecologic surgery [3]; the abdominal hysterectomy technique is still performed in over 80% of operations [4]. The visual analogue scale (VAS) is a psychometric response scale that can be used in questionnaires It is a measurement instrument for subjective characteristics or attitudes that cannot be measured directly. When responding to a VAS item, respondents specify their level of agreement with a statement by indicating a position along a continuous line between two end-points. This continuous (or analogue) aspect of the scale differentiates it from discrete scales. The aim of this study was to compare the short-term results of the laparoscopic and abdominal hysterectomy techniques and to compare the satisfaction rates of the patients with the operation scar
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