Our Summary

This study looked at the indirect costs associated with two types of hysterectomy surgeries: vaginal and laparoscopic. Indirect costs could include things like lost wages from time off work. The researchers looked at data from 517 patients over a five-year period.

They found that the indirect costs were higher for patients who had a vaginal hysterectomy compared to those who had a laparoscopic one. Specifically, the mean cost was €3,239.86 for the vaginal group, and €1,371.58 for the laparoscopic group. Most of these costs came from lost work productivity.

The study concluded that when considering the indirect costs, laparoscopic hysterectomy is a better option than vaginal hysterectomy for treating benign diseases. However, the best method should be determined based on the individual patient’s situation and the surgeon’s expertise.

FAQs

  1. What are the indirect costs associated with vaginal and laparoscopic hysterectomy surgeries?
  2. Is laparoscopic hysterectomy a more cost-effective option than vaginal hysterectomy?
  3. How much of the indirect costs associated with these surgeries come from lost work productivity?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic hysterectomy is to expect a shorter recovery time compared to traditional open surgery. Because the incisions made during laparoscopic surgery are smaller, patients typically experience less pain, scarring, and a faster return to normal activities. It is important to follow your surgeon’s post-operative instructions and attend follow-up appointments to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended for laparoscopic hysterectomy are those with benign gynecological conditions such as fibroids, endometriosis, adenomyosis, or abnormal uterine bleeding. Laparoscopic hysterectomy is also recommended for patients who have a preference for a minimally invasive procedure with faster recovery times, less pain, and shorter hospital stays compared to traditional open surgery. Additionally, patients who are deemed suitable candidates for laparoscopic surgery based on their overall health and medical history are also recommended for this procedure.

Timeline

Before the laparoscopic hysterectomy:

  • Patient meets with their gynecologist to discuss symptoms and treatment options
  • Patient undergoes pre-operative testing and evaluation
  • Patient receives instructions on how to prepare for surgery, such as fasting and medications to avoid
  • Patient undergoes the laparoscopic hysterectomy procedure

After the laparoscopic hysterectomy:

  • Patient is monitored in the recovery room before being transferred to a hospital room or discharged home
  • Patient may experience some pain and discomfort in the days following surgery
  • Patient is instructed on how to care for the incision sites and manage pain
  • Patient may experience some vaginal bleeding and discharge
  • Patient has follow-up appointments with their gynecologist to monitor healing and discuss any concerns
  • Patient gradually resumes normal activities and may return to work after a few weeks
  • Patient experiences improvements in symptoms related to the condition that was treated with the hysterectomy.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a laparoscopic hysterectomy?
  2. How long is the recovery time expected to be for a laparoscopic hysterectomy compared to other types of hysterectomy?
  3. Will I be able to return to work and normal activities sooner with a laparoscopic hysterectomy?
  4. How experienced are you in performing laparoscopic hysterectomies?
  5. Will I need any special follow-up care or additional appointments after the surgery?
  6. Are there any specific factors about my health or medical history that may affect the success of a laparoscopic hysterectomy?
  7. How will the costs of a laparoscopic hysterectomy compare to other types of hysterectomy procedures, including potential indirect costs like lost wages?
  8. Will there be any long-term effects or implications of choosing a laparoscopic hysterectomy over other options?
  9. Are there any specific lifestyle changes or precautions I should take after undergoing a laparoscopic hysterectomy?
  10. Are there any alternative treatment options that I should consider before deciding on a laparoscopic hysterectomy?

Reference

Authors: Martínez-Maestre MÁ, Jódar-Sánchez F, Calderón-Cabrera AM, González-Cejudo C, Silván-Alfaro JM, Melero-Cortés LM. Journal: JSLS. 2022 Jul-Sep;26(3):e2022.00048. doi: 10.4293/JSLS.2022.00048. PMID: 36212184