Abstract
BackgroundLaparoscopic surgery has been described as a minimally invasive surgery. The purpose of this study is to clarify its minimal invasive features using a patient questionnaire on the postoperative quality of life (QOL) over various time periods following either laparoscopic hysterectomy (LH) or abdominal hysterectomy (AH) and to compare the results.MethodsThis study enrolled 28 patients who underwent total hysterectomy for uterine fibroids in 2012 (14 AH cases and 24 LH cases) were enrolled in this study. The 36-Item Short Form Survey (SF-36) questionnaire was completed on postsurgical day 3; weeks 1, 2, and 4; and month 6. The results were compared between the two groups.ResultsPatients who underwent LH scored significantly higher on physical functioning on postoperative day 3 and week 2; physical role and bodily pain on day 3 and week 1; general health on postoperative day 3, weeks 1, 2, and 4, and month 6; social functioning on day 3; and emotional role on day 3 and week 1. No significant differences were found between vitality and mental health at any time point or in the categories above at any other time point.ConclusionsPostoperative QOL in LH cases was improved on day 3 and week 1; however, no significant differences between the LH and AH groups were found in most categories at week 4 and month 6. LH leads to superior short-term QOL early in the postoperative period relative to AH.
Highlights
IntroductionThe purpose of this study is to clarify its minimal invasive features using a patient questionnaire on the postoperative quality of life (QOL) over various time periods following either laparoscopic hysterectomy (LH) or abdominal hysterectomy (AH) and to compare the results
Laparoscopic surgery has been described as a minimally invasive surgery
We considered that laparoscopy unequivocally yields smaller surface wounds, it may be more accurately classified as a minimal access—rather than minimally invasive—procedure given that the degree of intra-abdominal maneuvering is similar to that required for open surgery
Summary
The purpose of this study is to clarify its minimal invasive features using a patient questionnaire on the postoperative quality of life (QOL) over various time periods following either laparoscopic hysterectomy (LH) or abdominal hysterectomy (AH) and to compare the results. No studies to date have investigated the QOL of patients with benign gynecological diseases over short or long postoperative periods using a measure such as the Short Form 36-Item Health Survey (SF-36). We compared self-reported healthrelated postoperative QOL between patients who underwent LH or AH for uterine fibroids. The SF-36 was used to gather self-reported data on patients’ postoperative QOL in the short and long terms to investigate whether laparoscopic surgery is truly a minimally invasive procedure that meaningfully improves QOL
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