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. 2019 Aug 28;20(3):142-146.
doi: 10.4274/jtgga.galenos.2018.2018.0073. Epub 2018 Jul 9.

Does minimally invasive surgery reduce anxiety?

Affiliations

Does minimally invasive surgery reduce anxiety?

Evrim Bostancı Ergen et al. J Turk Ger Gynecol Assoc. .

Abstract

Objective: To evaluate whether there were any differences in preoperative and postoperative anxiety in patients who underwent total laparoscopic hysterectomy (TLH) (n=37) and total abdominal hysterectomy (TAH) (n=37).

Material and methods: All premenopausal patients who underwent TLH or TAH because of benign uterine disorders were enrolled. Anxiety status was assessed 6 hours before and after the operation using standardized validated questionnaires: State-Trait Anxiety Inventory.

Results: In the TAH group, the state anxiety level of the patients significantly increased, whereas there was a significant decrease in the TLH group. For the trait anxiety level, there was a statistically significant increase in the TAH group postoperatively. In the TLH group, trait anxiety levels decreased postoperatively. In the analysis of between-group differences, pre and postoperative the state anxiety level was higher in the TAH group. A statistically significant difference was determined between the groups in respect of the postoperative state anxiety levels (p<0.05), but not in the preoperative state anxiety levels (p>0.05). Statistically significant differences were determined between the groups in respect of education, occupation, and curettage rates (p<0.05).

Conclusion: Women undergoing TLH for benign uterine disease may have lower levels of preoperative and postoperative anxiety than women undergoing TAH.

Keywords: Preoperative; anxiety; postoperative; total abdominal hysterectomy; total laparoscopic hysterectomy.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1
Figure 1
The graph shows the Preop-Postop state and trait anxiety levels between and within TAH and TLH groups TLH: Total laparoscopic hysterectomy; TAH: Total abdominal hysterectomy; STAI-X1: State anxiety scale; STAI-X2: Trait anxiety scale

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