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Returning to Work Following Minimally Invasive Hysterectomy.
Ari P Sanders1, Hira Amir2, Carmen J Fong3
1Department of Obstetrics and Gynaecology, Mount Sinai Hospital & Women's College Hospital, University of Toronto, Toronto, ON; Department of Obstetrics and Gynecology, Peter Lougheed Centre, University of Calgary, Calgary, AB.
Minimally invasive hysterectomy (MIH) offers benefits, but return to work (RTW) times vary. Surgeon counseling on a 2-4 week recovery significantly speeds up return to work for patients.
Area of Science:
- Gynecology
- Surgical Outcomes
- Occupational Health
Background:
- Minimally invasive hysterectomy (MIH) is associated with reduced pain and shorter hospital stays.
- However, a quicker return to work (RTW) has not been consistently observed post-MIH.
- Patient recovery expectations and surgeon recommendations influence RTW timelines.
Purpose of the Study:
- To analyze return to work times following minimally invasive hysterectomy.
- To investigate the impact of pre-operative counseling on RTW duration.
- To provide evidence-based recommendations for optimizing patient RTW.
Main Methods:
- A retrospective case series of 31 patients undergoing elective MIH.
- Data collected on RTW times post-surgery.
- Comparison of RTW based on different post-operative recovery counseling durations.
Main Results:
- The median RTW time was 21 days.
- Patients advised a 2-4 week recovery returned significantly faster (median 16 days) than those advised 4-8 weeks (median 56 days).
- Surgeon recommendations critically impact RTW timelines.
Conclusions:
- Most patients can return to work within 2-3 weeks after MIH.
- Setting realistic, shorter recovery expectations (2-4 weeks) accelerates RTW.
- Patient-centered recommendations, considering job demands, are essential for optimizing RTW post-MIH.
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