Psychological wellbeing after laparoscopic and abdominal hysterectomy--a randomised controlled multicentre study
2006 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, Vol. 113, no 9, 1023-30 p.Article in journal (Refereed) Published
OBJECTIVE: To compare laparoscopic hysterectomy and abdominal total hysterectomy regarding influence on postoperative psychological wellbeing and surgical measures. DESIGN: A prospective, open, randomised multicentre trial.
SETTING: Five hospitals in the South East of Sweden.
POPULATION: Hundred and twenty-five women scheduled for hysterectomy for benign conditions were enrolled in the study, and 119 women completed the study. Fifty-six women were randomised to abdominal hysterectomy and 63 to laparoscopic hysterectomy.
METHODS: Psychometric tests measuring general wellbeing, depression and anxiety preoperatively and 5 weeks and 6 months postoperatively.
MAIN OUTCOME MEASURES: Effects of operating method on the psychological wellbeing postoperatively. Analysis of data regarding operating time, peroperative and postoperative complications, blood loss, hospital stay and recovery time.
RESULTS: No significant differences in the scores were observed between the two groups in any of the four psychometric tests. Both the surgical methods were associated with a significantly higher degree of psychological wellbeing 5 weeks postoperatively compared with preoperatively. The operating time was significantly longer for the laparoscopic hysterectomy group, but the duration of the stay in hospital and sick-leave were significantly shorter for laparoscopic hysterectomy group compared with the abdominal hysterectomy group.
CONCLUSIONS: General psychological wellbeing is equal after laparoscopic and abdominal hysterectomy within 6 months after the operation. The advantages of the laparoscopic hysterectomy are the shorter stay in hospital and shorter sick-leave, but these issues must be balanced by a longer duration of the operation.
Place, publisher, year, edition, pages
2006. Vol. 113, no 9, 1023-30 p.
Hysterectomy, multicentre study, psychological wellbeing, psychometry, randomised
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-18472DOI: 10.1111/j.1471-0528.2006.01025.xPubMedID: 16956334OAI: oai:DiVA.org:liu-18472DiVA: diva2:219727