Subtotal versus total laparoscopic hysterectomy: could women sexual function recovery overcome the surgical outcomes in pre-operatory decision making?

Détails

ID Serval
serval:BIB_138BC7EB3FE5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Subtotal versus total laparoscopic hysterectomy: could women sexual function recovery overcome the surgical outcomes in pre-operatory decision making?
Périodique
Archives of gynecology and obstetrics
Auteur⸱e⸱s
Saccardi C., Gizzo S., Noventa M., Quaranta M., Borgato S., Conte L., Pluchino N., Litta P.
ISSN
1432-0711 (Electronic)
ISSN-L
0932-0067
Statut éditorial
Publié
Date de publication
06/2015
Peer-reviewed
Oui
Volume
291
Numéro
6
Pages
1321-1326
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Résumé
Hysterectomy is the most common surgical procedure performed in gynecology and, in over 95% of the cases, does not necessarily require the removal of the uterine cervix to be completed successfully. In clinical practice, however, less than 20% of gynecologists offer patients the possibility to express a personal preference concerning the choice between total laparoscopic hysterectomy (TLH) and laparoscopic subtotal hysterectomy (LSH). The aim of this study is to compare patients who have undergone TLH versus LSH for benign uterine diseases in terms of intra-operative/peri-operative surgical outcomes and short-term recovery of sexual function.
We performed an observational, retrospective study on 478 women who underwent hysterectomy for benign uterine disease at Gyn/Ob Clinic, Department of Women's and Children's Health of Padua University between January 2003 and December 2012. Surgical data were recorded. We investigated and compared outcomes between the two groups of patients (TLH vs LSH) in terms of the following: surgical complications rate, post-operative therapy, women satisfaction and sexual activity recovery.
We found that operating time and length of hospital stay were significantly lower in patients who underwent LSH. A higher rate of post-operative fever was reported in the TLH treatment group although antibiotic prophylaxis was implemented in a similar fashion for both groups. At 60-70 days following surgery, women of LSH group reported a greater ease in recovery of sexual function as opposed to those who underwent TLH.
The advantages and potential drawbacks of both procedures need to be discussed with women presenting with benign disease. LSH is a reasonable option for women, representing both an excellent minimally invasive approach in a proper clinical setting and an appropriate procedure for those women who prefer conservative surgery.
Mots-clé
Adult, Decision Making, Female, Humans, Hysterectomy/adverse effects, Hysterectomy/methods, Laparoscopy/adverse effects, Laparoscopy/methods, Length of Stay, Middle Aged, Minimally Invasive Surgical Procedures, Patient Outcome Assessment, Perioperative Period, Postoperative Complications/epidemiology, Recovery of Function, Retrospective Studies, Sexual Behavior, Treatment Outcome, Uterine Diseases/surgery
Pubmed
Web of science
Création de la notice
15/09/2023 12:24
Dernière modification de la notice
27/09/2023 9:55
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