Pain reduction after total laparoscopic hysterectomy and laparoscopic supracervical hysterectomy among women with dysmenorrhoea: a randomised controlled trial1. (19th April 2015)

• Record Type: Journal Article
• Authors: Berner, E; Qvigstad, E; Myrvold, AK; Lieng, M
• Is Part Of: BJOG. Volume 122:Number 8(2015:Aug.)
• Page Start: 1102
• Page End: 1111
• Publication Date: 2015-04-19
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; 618
• DOI: 10.1111/1471-0528.13362
• Languages: English
• ISSNs: 1470-0328

Abstract

<abstract abstract-type="main" id="bjo13362-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="bjo13362-sec-0001" sec-type="section"> <title>Objective</title> <p>To evaluate the effectiveness of total laparoscopic hysterectomy compared with laparoscopic supracervical hysterectomy for alleviating dysmenorrhoea.</p> </sec> <sec id="bjo13362-sec-0002" sec-type="section"> <title>Design</title> <p>Randomised blinded controlled trial.</p> </sec> <sec id="bjo13362-sec-0003" sec-type="section"> <title>Setting</title> <p>Norwegian university teaching hospital.</p> </sec> <sec id="bjo13362-sec-0004" sec-type="section"> <title>Sample</title> <p>Sixty‐two women with dysmenorrhoea.</p> </sec> <sec id="bjo13362-sec-0005" sec-type="section"> <title>Methods</title> <p>Participants randomised to either total laparoscopic hysterectomy (<italic>n </italic>=<italic> </italic>31) or laparoscopic supracervical hysterectomy (<italic>n </italic>=<italic> </italic>31).</p> </sec> <sec id="bjo13362-sec-0006" sec-type="section"> <title>Main outcome measures</title> <p>The primary outcome measure, measured 12 months after intervention, was reduction of cyclic pelvic pain (visual analogue scale, 0–10). Secondary outcome measures included patient satisfaction (visual analogue scale, 0–10) and quality of life (Short Form 36, 0–100).</p> </sec> <sec id="bjo13362-sec-0007" sec-type="section"> <title>Results</title> <p>The groups were comparable at baseline. There was no difference in self‐reported dysmenorrhoea at 12 months (mean 0.8 [SD 1.6] versus 0.8 [SD 2.0], <italic>P</italic> = 0.94). There was no difference in patient satisfaction (mean 9.3 [SD 1.5] versus 9.1 [SD 1.2], <italic>P</italic> = 0.66) or quality of life (mean 81.6 [SD 17.8] versus 80.2 [SD 18.0], <italic>P </italic>=<italic> </italic>0.69).</p> </sec> <sec id="bjo13362-sec-0008" sec-type="section"> <title>Conclusion</title> <p>Improvement in dysmenorrhoea and quality of life as well as patient satisfaction were comparable in the medium term when comparing total laparoscopic hysterectomy with laparoscopic supracervical hysterectomy.</p> </sec> </abstract>