Universität zu Köln

Spuentrup, Carolin, Banerjee, M., Piana, J., Hellmich, M., Bojahr, J., Bojahr, B., Albus, C. and Noe, G. (2022). The influence of persistent bleeding after supracervical hysterectomy on depressive and anxious symptoms: a prospective bicenter study. Arch. Gynecol. Obstet., 306 (1). S. 127 - 133. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-0711

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Abstract

Purpose Postoperative spotting is a frequent adverse symptom after laparoscopic supracervical hysterectomy (LSH). The conical excision (eLSH) reduces the postoperative spotting rate, but data in a larger collective are still rare and inconsistent. The influence of persistent bleeding on the anxious and depressive symptoms has not been analyzed yet. Methods 311 patients, who underwent a laparoscopic supracervical hysterectomy with conical excision (n = 163), or with straight cervical resection (n = 148) were included. Anxious and depressive symptoms and postoperative spotting were recorded before operation, at 3 month follow-up and at 1 year follow-up in both operative groups using a validated questionnaire (German version of Hospital Anxiety and Depression Scale, HADS-D) and additional questions concerning the frequency and impact of bleeding. Statistical analysis included the impairment of bleeding as well as its impact on depressive and anxious symptoms for both groups. Results 11.5% after eLSH and 15.5% after LSH reported spotting after 1 year. Supracervical hysterectomy significantly improves depressive and anxious symptoms at 3 and at 12 month follow-up for both groups (p < 0.001) independent on residual spotting. Patients with a preoperative continuous bleeding showed a maximum benefit independent on operative method. Conclusion Laparoscopic supracervical hysterectomy has a positive effect on anxious and depressive symptoms in the short-term and intermediate-term follow-up. The conical excision of the cervical stump reduces postoperative spotting rate, but has no explicit advantage on symptoms of depression or anxiety, irrespective of residual postoperative spotting.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spuentrup, Carolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Banerjee, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Piana, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bojahr, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bojahr, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Albus, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Noe, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-682111
DOI:	10.1007/s00404-022-06446-y
Journal or Publication Title:	Arch. Gynecol. Obstet.
Volume:	306
Number:	1
Page Range:	S. 127 - 133
Date:	2022
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-0711
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIAL COMPARING CHANGES; ENDOCERVIX; EXCISION; HEALTH Multiple languages Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68211