Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Evaluation of perioperative stress after laparoscopic and abdominal hysterectomy in premalignant and malignant disease of the uterine cervix and corpus
Objective: To compare the differences in laparoscopic and abdominal hysterectomy in surgery of premalignant and malignant uterine disease. Design: Prospective study. Setting: Baby Friendly Hospital, Kladno, Czech Republic. Su切ect: A total 32 patients underwent hysterectomies for premalignant and malignant uterine conditions. Interventions: Patients were assigned to either laparoscopic-assisted vaginal hysterectomy or total abdominal hysterectomy (LAVH), with bilateral salpingo-oophorectomy and lymph node dissection. Measures: Clinical data and value of total creatine kinase and C-reactive protein were measured. Results: All 32 procedures were succesfully completed. There were no major complications. Mean order of CRP concentrations was significantly lower (p = 0.00 l) in patients with LAHV. Mean order of total CK activities was also significantly lower in these patients (p = 0.003) and the median hospital stay was 4.1 days (p = 0.05). Conclusions: Laparoscopic procedures were followed by shorter hospital stays and the proposed evaluation of tissue damage using serum enzymes and proteins demonstrates that the laparoscopic approach to hysterectomy and accessory procedures has considerable importance in decreasing perioperative patient stress. The presented results are supported by clinical experience and should have a decisive impact on the chosen approach to the course and duration of convalescence in patients undergoing a hysterectomy in premalignant and malignant disease of the uterine cervix and corpus.