title: Prospective evaluation of quality of life in total versus supracervical laparoscopic hysterectomy.
abstract: OBJECTIVE
  To evaluate and compare recovery times and quality of life (QOL) in patients undergoing a total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LSH).
  
  
  METHODS
  Patients underwent either a TLH or LSH. After surgery, patients maintained a daily log documenting pain, nausea, use of pain medications, and return to daily activities. They also completed a QOL questionnaire (SF-36) before and after surgery.
  
  
  METHODS
  Prospective cohort study (Canadian Task Force Classification II-1).
  
  
  METHODS
  University teaching hospital.
  
  
  METHODS
  A total of 122 women undergoing laparoscopic hysterectomy.
  
  
  RESULTS
  A total of 122 women underwent TLH (n = 71) or LSH (n = 51) for benign indications from February 2008 to January 2010. There was a significantly higher postoperative improvement of QOL scores in the LSH group in 6 of 10 questionnaire categories and summary scores, including physical functioning (p =.03), role physical (p =.002), and bodily pain (p =.03). There were no significant differences in use of pain medications, level of pain, level of nausea, or return to normal activities.
  
  
  CONCLUSIONS
  LSH appears to provide greater improvement in short-term postoperative QOL compared with TLH. No significant differences were found in postoperative pain or return to daily activities.
authors.affiliation: Brigham and Women's Hospital, Boston, MA 02115, USA. jeinarsson@partners.org
authors.forename: Jon I
authors.initials: JI
authors.lastname: Einarsson
authors.forename: Yoko
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Thomas T
authors.initials: TT
authors.lastname: Vellinga
authors.forename: Gudrun M
authors.initials: GM
authors.lastname: Jonsdottir
authors.forename: Magnus K
authors.initials: MK
authors.lastname: Magnusson
authors.forename: Rie
authors.initials: R
authors.lastname: Maurer
authors.forename: Honami
authors.initials: H
authors.lastname: Yoshida
authors.forename: Brian
authors.initials: B
authors.lastname: Walsh
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods* / Q000523:psychology; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain; D011184:Postoperative Period; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome