Psychological wellbeing after laparoscopic and abdominal hysterectomy--a randomised controlled multicentre study.

Full Abstract

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.

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Author information

Author/s: Persson, P (P); Wijma, K (K); Hammar, M (M); Kjølhede, P (P);

Affiliation: Division of Obstetrics and Gynaecology, Department of Molecular and Clinical Medicine, Faculty of Health Sciences, University Hospital, Linköping, Sweden. par.persson(-atsign-)akademiska.se

Journal and publication information

Publication Type: Comparative Study; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: BJOG : an international journal of obstetrics and gynaecology (BJOG), published in England. (Language: eng)

Reference: 2006-Sep; vol 113 (issue 9) : pp 1023-30

Dates: Created 2006/09/07; Completed 2006/10/24; Revised 2006/11/15;

PMID: 16956334, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Anxiety Disorders - etiology
Depressive Disorder - etiology
Female
Genital Diseases, Female - psychology; surgery
Humans

Humans
Hysterectomy - psychology
Laparoscopy - methods
Mental Health
Middle Aged
Prospective Studies

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