Long-term outcomes following laparoscopic supracervical hysterectomy.
BJOG
; 115(13): 1605-10, 2008 Dec.
Article
em En
| MEDLINE
| ID: mdl-18752588
ABSTRACT
OBJECTIVE:
Evaluation of long-term outcomes following laparoscopic supracervical hysterectomy (LSH).DESIGN:
Retrospective postal questionnaire.SETTING:
Norwegian university teaching hospital. POPULATION A total of 315 consecutive patients.METHODS:
A questionnaire sent to all patients who underwent a LSH during 2004 and 2005. MAIN OUTCOMEMEASURES:
Persistent vaginal bleeding and pelvic pain, patient acceptability of such symptoms and patient satisfaction following LSH.RESULTS:
A total of 240 women (78%) completed the questionnaire. About 24% reported experiencing vaginal bleeding up to 3 years following their hysterectomy, although this was rated as minimal in 90% of cases, resulting in a mean bothersome score of 1.1 (SD 2.0) on a 10-point visual analogue scale (VAS). Women operated on by less experienced surgeons were more likely to report vaginal bleeding following surgery (P = 0.02). About 74% of women reported having menstrual pain prior to surgery, with a mean score of 6.8 (SD 2.1) (10-point VAS). Up to 3 years following surgery, 38% continued to experience menstrual pain, although this was significantly less intense with a mean score of 3.5 (SD 2.2) (P < 0.01). While all women reported a decrease in the amount of pain experienced following the hysterectomy, those having a hysterectomy because of endometriosis reported significantly higher levels of menstrual/cyclical pain after surgery compared with women who had a hysterectomy for other reasons (P < 0.01). Ninety per cent of women reported being satisfied with their surgery.CONCLUSION:
Although vaginal bleeding and pelvic pain are frequently observed following LSH, these symptoms are significantly reduced and patient satisfaction is high.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Satisfação do Paciente
/
Laparoscopia
/
Dor Pélvica
/
Dismenorreia
/
Histerectomia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article