- 作者：Jon I. Einarsson ; MD ; MPH ; jeinarsson@partners.org ; Yoko Suzuki ; MD ; MPH ; Thomas T. Vellinga ; Gudrun M. Jonsdottir ; Magnus K. Magnusson ; MD ; Rie Maurer ; Honami Yoshida ; MD ; PhD ; MPH ; Brian Walsh ; MD
- 关键词：Laparoscopic ; Hysterectomy ; Supracervical
- 刊名：Journal of Minimally Invasive Gynecology
- 出版年：2011
- 出版时间：September-October, 2011
- 年：2011
- 卷：18
- 期：5
- 页码：617-621
- 全文大小：191 K
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.