Safety and caregiver satisfaction associated with laparoscopic hysterectomy among young patients with intellectual disability.
OBJECTIVE
To evaluate the safety of laparoscopic hysterectomy for young patients with intellectual disability and the postoperative satisfaction levels of their caregivers.


METHODS
A retrospective analysis was conducted of all patients with intellectual disability who underwent laparoscopic hysterectomy at a center in Thailand between January 5, 2004, and August 31, 2010. Information was retrieved about preoperative, intraoperative, and postoperative characteristics. Caregiver satisfaction levels were assessed 3 months after surgery using a Likert-type scale.


RESULTS
The mean age of the 74 included patients was 14.9±4.2 years. The cause of intellectual disability was unknown for 30 patients (41%); 22 (30%) had Down syndrome. Total laparoscopic hysterectomy was performed among 66 (89%) patients. No major operative complications were noted. Overall, 72 (97%) caregivers were extremely satisfied with the surgical outcome; the remaining 2 (3%) reported being very satisfied.


CONCLUSIONS
Laparoscopic hysterectomy was safe and had good outcomes among patients with intellectual disability. This procedure might be a feasible option to induce therapeutic amenorrhea among young patients with intellectual disability, especially in countries with limited resources.
Thai-German Multidisciplinary Endoscopic Training Center, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. Electronic address: amphan.cha@mahidol.ac.th.
Amphan
A
Chalermchockcharoenkit
Thai-German Multidisciplinary Endoscopic Training Center, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Korakot
K
Sirimai
Thai-German Multidisciplinary Endoscopic Training Center, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pavit
P
Sutchritpongsa
Thai-German Multidisciplinary Endoscopic Training Center, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Rujirek
R
Leelanapapat
Thai-German Multidisciplinary Endoscopic Training Center, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Ataporn
A
Panpanit
Thai-German Multidisciplinary Endoscopic Training Center, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Harshita
H
Ramamurthy
D000293:Adolescent; D017028:Caregivers / Q000523:psychology*; D002648:Child; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D008607:Intellectual Disability; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D010549:Personal Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013785:Thailand; D055815:Young Adult
Intellectual disability; Laparoscopic hysterectomy; Safety; Satisfaction; Young patients