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Short-term recovery after subtotal and total abdominal hysterectomy: a randomised clinical trial
Department of Obstetrics and Gynaecology, University Hospital, Uppsala, Sweden.
Division of Obstetrics and Gynaecology, Department ofClinical and Experimental Medicine, Faculty of Health Sciences, University Hospital, Linköping, Sweden.ORCID iD: 0000-0002-0071-4383
Division of Obstetrics and Gynaecology, Department ofClinical and Experimental Medicine, Faculty of Health Sciences, University Hospital, Linköping, Sweden.
2010 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 117, no 4, p. 469-478Article in journal (Refereed) Published
Abstract [en]

Objective: To determine whether the day-by-day postoperative recovery differs between women undergoing subtotal and total abdominal hysterectomy, and to analyse factors associated with postoperative recovery and sick leave.

Design: A prospective, open, randomised multicentre trial.

Setting Seven hospitals and one private clinic in the south-east of Sweden.

Population: Two-hundred women scheduled for hysterectomy for benign conditions were enrolled in the study, and 178 women completed the study. Ninety-four women were randomised to subtotal abdominal hysterectomy; 84 women were randomised to total abdominal hysterectomy.

Methods: The day-by-day recovery of general wellbeing was measured on a visual analogue scale in a diary 7 days preoperatively and 35 days postoperatively. Psychometric measurements included depression, anxiety and general psychological wellbeing.

Main outcome measures: Effects of operating method and preoperative wellbeing on the day-by-day recovery and duration of sick leave.

Results: No significant difference was found in the day-by-day recovery between operating methods. The day-by-day recovery of general wellbeing and duration of sick leave was strongly associated with the occurrence of minor complications, but not with major complications. The level of psychological wellbeing preoperatively was strongly associated with the day-by-day recovery of general wellbeing and duration of sick leave.

Conclusions: Day-by-day recovery of general wellbeing is no faster in subtotal versus total abdominal hysterectomy. Independent of operation method there is an interaction between preoperative psychological wellbeing, postoperative recovery of general wellbeing and the duration of sick leave. Postoperative complications and preoperative psychological wellbeing are strong determinants for the duration of sick leave. There is a need for intervention studies with a focus on complications and preoperative wellbeing.

Place, publisher, year, edition, pages
Blackwell Publishing, 2010. Vol. 117, no 4, p. 469-478
Keywords [en]
Hysterectomy, randomised study, recovery, subtotal
National Category
Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
URN: urn:nbn:se:oru:diva-107944DOI: 10.1111/j.1471-0528.2009.02468.xISI: 000274388200013PubMedID: 20074264Scopus ID: 2-s2.0-76349091144OAI: oai:DiVA.org:oru-107944DiVA, id: diva2:1792483
Funder
Region ÖstergötlandLinköpings universitetAvailable from: 2023-08-29 Created: 2023-08-29 Last updated: 2025-02-11Bibliographically approved

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