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Does minimally invasive surgery reduce anxiety?
Evrim Bostancı Ergen1, Yaşam Kemal Akpak2, Çetin Kılıççı1
1Clinic of Gynecology Obstetrics and Reproductive Medicine, İstanbul Zeynep Kamil Woman and Child Diseases Training and Research Hospital, İstanbul, Turkey
Journal of the Turkish German Gynecological Association
|July 10, 2018
Summary
Total laparoscopic hysterectomy (TLH) is associated with lower preoperative and postoperative anxiety compared to total abdominal hysterectomy (TAH). Patients undergoing TLH experienced decreased anxiety, while TAH patients showed increased anxiety levels.
Area of Science:
- Gynecology
- Surgical Oncology
- Psychological Medicine
Background:
- Hysterectomy is a common surgical procedure for benign uterine disorders.
- Anxiety is a common psychological response to major surgery.
- Comparing surgical approaches may reveal differences in patient outcomes.
Purpose of the Study:
- To compare preoperative and postoperative anxiety levels in patients undergoing total laparoscopic hysterectomy (TLH) versus total abdominal hysterectomy (TAH).
Main Methods:
- Premenopausal women with benign uterine disorders were enrolled.
- Anxiety was assessed using the State-Trait Anxiety Inventory 6 hours before and after surgery.
- 37 patients underwent TLH and 37 underwent TAH.
Main Results:
- State anxiety significantly increased in the TAH group but decreased in the TLH group.
- Trait anxiety significantly increased postoperatively in the TAH group and decreased in the TLH group.
- Postoperative state anxiety was significantly higher in the TAH group compared to the TLH group (p<0.05).
Conclusions:
- Total laparoscopic hysterectomy may lead to lower preoperative and postoperative anxiety than total abdominal hysterectomy.
- The findings suggest TLH may offer psychological benefits for patients with benign uterine disease.
- Further research could explore long-term psychological impacts of different hysterectomy methods.
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