Evaluation of perioperative stress after laparoscopic and abdominal hysterectomy in premalignant and malignant disease of the uterine cervix and corpus.
OBJECTIVE
To compare the differences in laparoscopic and abdominal hysterectomy in surgery of premalignant and malignant uterine disease.


METHODS
Prospective study.


METHODS
Baby Friendly Hospital, Kladno, Czech Republic.


METHODS
A total 32 patients underwent hysterectomies for premalignant and malignant uterine conditions.


METHODS
Patients were assigned to either laparoscopic-assisted vaginal hysterectomy or total abdominal hysterectomy (LAVH), with bilateral salpingo-oophorectomy and lymph node dissection.


METHODS
Clinical data and value of total creatine kinase and C-reactive protein were measured.


RESULTS
All 32 procedures were successfully completed. There were no major complications. Mean order of CRP concentrations was significantly lower (p = 0.001) in patients with LAHV. Mean order of total CK activities was also significantly lower in these patients (p = 0.003) and the median hospital stay was 4.1 days (p = 0.05).


CONCLUSIONS
Laparoscopic procedures were followed by shorter hospital stays and the proposed evaluation of tissue damage using serum enzymes and proteins demonstrates that the laparoscopic approach to hysterectomy and accessory procedures has considerable importance in decreasing perioperative patient stress. The presented results are supported by clinical experience and should have a decisive impact on the chosen approach to the course and duration of convalescence in patients undergoing a hysterectomy in premalignant and malignant disease of the uterine cervix and corpus.
Department of Obstetrics and Gynecology, Baby Friendly Hospital, Kladno, Czech Republic.
Z
Z
Holub
A
A
Jabor
D
D
Fischlova
V
V
Palasek
A
A
Shomani
D002097:C-Reactive Protein / Q000032:analysis; D003402:Creatine Kinase / Q000097:blood; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects; D011446:Prospective Studies; D013312:Stress, Physiological / Q000201:enzymology / Q000209:etiology*; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000601:surgery*; D014594:Uterine Neoplasms / Q000150:complications / Q000201:enzymology / Q000601:surgery*
D002097:C-Reactive Protein; D003402:Creatine Kinase