Our Summary

During the COVID-19 pandemic, it’s important to choose surgical methods that minimize the risk of virus transmission. This study looked at two methods of performing a hysterectomy (removal of the uterus): a three-dimensional (3D) method and a two-dimensional (2D) one. They tested these methods on 44 patients.

The results showed that the 3D method took less time than the 2D one. However, there were no significant differences in the patients’ blood hemoglobin levels or other surgical results between the two methods.

So, because the 3D method is quicker, it could be safer for both the patient and the surgeon, potentially reducing the risk of COVID-19 transmission. Therefore, it might be a good idea to choose the 3D method as the first choice during the pandemic.

FAQs

  1. What are the two methods of performing a hysterectomy studied during the COVID-19 pandemic?
  2. Why might the 3D method of laparoscopic hysterectomy be considered safer during the COVID-19 pandemic?
  3. Were there any significant differences in surgical results between the 3D and 2D methods of laparoscopic hysterectomy?

Doctor’s Tip

Additionally, after a laparoscopic hysterectomy, it’s important for patients to follow their doctor’s instructions for recovery. This may include avoiding heavy lifting, taking prescribed pain medication as needed, and gradually returning to normal activities. It’s also important to watch for any signs of infection, such as fever or increased pain, and to contact your doctor if you experience any unusual symptoms. Following these guidelines can help ensure a smooth and successful recovery after surgery.

Suitable For

Patients who are typically recommended for laparoscopic hysterectomy include those with:

  1. Uterine fibroids
  2. Endometriosis
  3. Abnormal uterine bleeding
  4. Chronic pelvic pain
  5. Pelvic organ prolapse
  6. Adenomyosis
  7. Gynecologic cancers such as uterine, cervical, or ovarian cancer

It is important to consult with a healthcare provider to determine if laparoscopic hysterectomy is the most appropriate treatment option for each individual patient.

Timeline

Before laparoscopic hysterectomy:

  • Patient meets with their healthcare provider to discuss the need for a hysterectomy and their surgical options.
  • Patient undergoes pre-operative testing, such as blood work and imaging studies.
  • Patient may need to stop certain medications or adjust their diet in preparation for surgery.
  • Patient receives instructions on how to prepare for surgery, including fasting before the procedure.

After laparoscopic hysterectomy:

  • Patient wakes up in the recovery room and is monitored closely by healthcare providers.
  • Patient may experience some pain and discomfort, which can be managed with medication.
  • Patient is encouraged to walk around and engage in light activities to aid in recovery.
  • Patient may have a follow-up appointment with their healthcare provider to monitor their healing progress.
  • Patient is advised on post-operative care, including wound care, diet, and activity restrictions.
  • Patient may experience some side effects, such as fatigue, abdominal bloating, and vaginal discharge, which typically improve over time.
  • Patient may resume normal activities gradually, following their healthcare provider’s recommendations.

What to Ask Your Doctor

  1. What are the benefits of a laparoscopic hysterectomy compared to traditional open surgery?
  2. What are the potential risks and complications associated with a laparoscopic hysterectomy?
  3. How long is the recovery time after a laparoscopic hysterectomy?
  4. Will I have any restrictions on activities or diet after the surgery?
  5. How many laparoscopic hysterectomies have you performed and what is your success rate?
  6. What type of anesthesia will be used during the procedure?
  7. Will I need to stay overnight in the hospital after the surgery?
  8. What should I expect in terms of pain management during and after the surgery?
  9. Are there any alternatives to a laparoscopic hysterectomy that I should consider?
  10. How will the COVID-19 pandemic impact my surgery and recovery process?

Reference

Authors: Kowalczyk D, Piątkowski S, Porażko M, Woskowska A, Szewczyk K, Brudniak K, Wójtowicz M, Kowalczyk K. Journal: Int J Environ Res Public Health. 2022 Oct 29;19(21):14163. doi: 10.3390/ijerph192114163. PMID: 36361054