Women's preference for laparoscopic or abdominal hysterectomy

Kirsten B. Kluivers, Brent C. Opmeer, Peggy M. Geomini, Marlies Y. Bongers, Mark E. Vierhout, Gérard L. Bremer, Ben W.J. Mol

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

In the present study, women's preferences on advantages and disadvantages of laparoscopic hysterectomy (LH) and abdominal hysterectomy (AH) have been studied. Patients' preferences were evaluated in individual, structured interviews in women scheduled for hysterectomy and questionnaires in nurses. Forty-three patients and 39 nurses were included. After general information, 84% of patients and 74% of nurses preferred LH over AH. This preference did not change after supplying more detailed information or after hysterectomy. The avoidance of complications was indicated as the most important factor in the decision. More than half of the women evaluated a difference of 1% as the maximum acceptable risk of major complications. When confronted with scenarios based on current evidence, both patients and nurses prefer LH over AH. This study supports further implementation of LH in clinical practice. The actual major complication rate in hysterectomy, however, is perceived as high.

Original languageEnglish
Pages (from-to)223-228
Number of pages6
JournalGynecological surgery
Volume6
Issue number3
DOIs
Publication statusPublished - 1 Sep 2009

Keywords

  • Abdominal hysterectomy
  • Interview
  • Laparoscopic hysterectomy
  • Patients' preference
  • Questionnaire

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