COMPARISON OF LAPAROSCOPIC AND ABDOMINAL METHODS OF HYSTERECTOMY FROM PATIENT’S PERSPECTIVE

Aims: To compare the postoperative pain and satisfaction of the patients who operated with total laparoscopic and abdominal hysterectomy methods for benign gynecologic conditions. Methods: This study was a prospective randomized trial. Visual Analoque Scala and Patient Satisfaction Score Scalas were used to evaluate patients postoperative satisfaction rate. Seventyone  patients who operated by total laparoscopic hysterectomy compared with 68 patients who operated by total abdominal hysterectomy for benign gynecologic indications. Results: The groups were similar in respect to age, race, gravidy and parity status and uterine weight. Hospital stay, need for analgesic use, visual analoque scala pain scores in 12, 24 and 36 hours and patient satisfaction scores in 24,48 hours and 1 st weeks, blood loss were statistically less in laparoscopic hysterectomy group than abdominal hysterectomy group (p<0,001). Conclusion: Laparoscopic hysterectomy was a superior method than abdominal hysterectomy on short term follow-up, patients postoperative pain and satisfaction of the operation scar.