Comparison of laparoscopic and abdominal methods of hysterectomy from patient’s perspective

Main Article Content

Hasan Terzi
Pinar Solmaz Hasdemir
Sertan Aksu
Ahmet Kale
Semra Oruç Koltan


Aims: To compare the postoperative pain and satisfaction of the patients who operated with total laparoscopic and abdominal hysterectomy methods for benign gynecologic conditions.

Methods: This study was a prospective randomized trial. Visual Analoque Scala and Patient Satisfaction Score Scalas were used to evaluate patients postoperative satisfaction rate. Seventyone  patients who operated by total laparoscopic hysterectomy compared with 68 patients who operated by total abdominal hysterectomy for benign gynecologic indications.

Results: The groups were similar in respect to age, race, gravidy and parity status and uterine weight. Hospital stay, need for analgesic use, visual analoque scala pain scores in 12, 24 and 36 hours and patient satisfaction scores in 24,48 hours and 1st weeks, blood loss were statistically less in laparoscopic hysterectomy group than abdominal hysterectomy group (p<0,001).

Conclusion: Laparoscopic hysterectomy was a superior method than abdominal hysterectomy on short term follow-up, patients postoperative pain and satisfaction of the operation scar.


Download data is not yet available.

Article Details

How to Cite
Terzi, H., Hasdemir, P. S., Aksu, S. ., Kale, A. ., & Koltan, S. O. (2019). Comparison of laparoscopic and abdominal methods of hysterectomy from patient’s perspective. Medical Science and Discovery, 2(3), 208–210. Retrieved from
Research Article


- Brummer THI, Jalkanen J, Fraser J. National Prospective 1-Year Survey of 5279 Hysterectomies. Hum Reprod. 2009;10:2515-2522.

- Reich H, De Caprio J, Mc Glynn F. Laparoscopic Hysterectomy. J Gynecol Surgery. 1989;5:213- 216.

- Falcone T, Paraiso MF, Mascha E. Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy. Am J Obstet Gynecol. 1999;180(4):955-62.

- Candiani M, Izzo S. Laparoscopic versus vaginal hysterectomy for benign pathology. Curr Opin Obstet Gynecol. 2010;22(4):304-8.

- Reips and Funke F . "Interval level measurement with visual analogue scales in Internet-based research: VAS Generator." 2008. doi:10.3758/BRM.40.3.699

- Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2006;19(2):CD003677.

- Garry R, Fountain J, Brown J, Manca A, Mason S, Sculpher M, et al. Evaluate hysterectomy trial: a multicentre randomised trial comparing abdominal, vaginal and laparoscopic methods of hysterectomy. Health Technol Assess. 2004;8(26):1-154.

- Jahan S, Das T.R, Mahmud N, Mondol S.K, Habib S.H, Saha S, et al. A Comparative study among laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy and abdominal hysterectomy: Experience in a tertiary care hospital in Bangladesh. Journal of Obstetrics and Gynaecology. 2011;31(3):254-257.

- Oscarsson U, Poromaa IS, Nüssler E, Löfgren M. No difference in length of hospital stay between laparoscopic and abdominal supravaginal hysterectomy--a preliminary study. Acta Obstet Gynecol Scand. 2006;85(6):682-7.

- Sutasanasuang, S. Laparoscopic hysterectomy versus total abdominal hysterectomy: A retrospective comparative study. Journal of the Medical Association of Thailand 2011;94(1):8-16

- Wiser, A., Holcroft, C.A., Tulandi, T., Abenhaim, H.A. Abdominal versus laparoscopic hysterectomies for benign diseases: Evaluation of morbidity and mortality among 465,798 cases. Gynecological Surgery 2013;10(2):117-122

- Kumar A, Pearl M. Mini-laparotomy versus laparoscopy for gynecologic conditions. J Minim Invasive Gynecol. 2014;21(1):109-14.

- Sirisabya N, Manchana T. Mini-laparotomy vs laparoscopic hysterectomy for benign gynaecological diseases. J Obstet Gynaecol. 2014;34(1):65-9.

- Kluivers KB, Hendriks JC, Mol BW, Bongers MY, Bremer GL, de Vet HC, et al. Quality of life and surgical outcome after total laparoscopic hysterectomy versus total abdominal hysterectomy for benign disease: a randomized, controlled trial. J Minim Invasive Gynecol. 2007;14(2):145-52.

Most read articles by the same author(s)