Published in:
01-09-2012 | Original Article
The well-being of women following total laparoscopic hysterectomy versus total abdominal hysterectomy for endometrial cancer
Authors:
Sivakami Rajamanoharan, Tim Duncan, Jafaru Abu
Published in:
Gynecological Surgery
|
Issue 3/2012
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Abstract
Total laparoscopic hysterectomies (TLH) are increasingly being used in the management of endometrial carcinoma. There is insufficient research on patient satisfaction and well-being after TLH for malignant endometrial disease. The objective of this questionnaire-based retrospective study was to compare post-operative well-being after total abdominal hysterectomy (TAH) versus TLH for endometrial carcinoma. Eighty-one women who underwent a TLH or TAH for endometrial carcinoma and atypical endometrial hyperplasia in a tertiary UK hospital were the sample of this study. Data regarding well-being and post-operative satisfaction were obtained via a self-administered questionnaire. Results were analysed. The primary outcome was health-related well-being. The length of post-operative hospital stay, satisfaction with scar, return to normal activities, severity of post-operative pain and sexual activity were secondary outcome measures. Seventy women responded (TAH n = 41; TLH n = 29). There was no difference between overall well-being between both groups. TLH group reported a shorter hospital stay (TAH = 4 days; TLH = 2 days; p = 0.000), a quicker return to normal activities with 24.4% of the TAH group taking 12 weeks or more, compared to 3.4% of the TLH group (p = 0.019) and increased satisfaction with their scars than the TAH group (‘very’ or ‘fairly satisfied’ with scar TAH 92.7%; TLH 100%; p = 0.039). This study has found that patients’ well-being after endometrial carcinoma is not significantly affected by surgical technique. This is in line with previous studies using patients with benign disease. However, laparoscopic techniques do have a reduced impact on a patient’s life through shorter hospital stays and quicker return to normal activities