Patient knowledge of hysterectomy and pap screening after minimally invasive hysterectomy

Mattingly, Marlena; Juran, Rupal; Su, Isaac; Ebinger, Jessica; Daggy, Joanne; Edmonds, Brownsyne Tucker

doi:10.1016/j.pec.2016.08.017

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…The results of two prior studies 11,12 are broadly consistent with our study. However, both prior studies only addressed women's knowledge of general aspects of hysterectomy and female anatomy.…”

Section: Discussionsupporting

confidence: 91%

Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy

Belilovets

Gopal²,

Stockwell

et al. 2020

Women's Health Reports

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Objective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic. Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess understanding of the hysterectomy procedure and of uterine fibroids. The final version of the survey consisted of basic demographic questions, followed by 28 knowledge questions (Canadian Task Force Classification II-2). The survey was disseminated to women in the waiting room of one of our gynecology clinics. The patient population included women 18 years and older. Results: The mean age of respondents was 33.5 years old. In total, 69.5% of the respondents had at least some college education. In the group of questions related to different types of hysterectomies, the most poorly answered question was ''Which type of hysterectomy has the highest risk of damage to the bladder?'' Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description. Of questions about uterine fibroids, the most poorly answered question was whether cancer that looks like fibroids is common, with >90% of the respondents incorrectly thinking that cancer that resembled fibroids is common. More than half of respondents did not know what a fibroid is. Conclusions: In this analysis of the understanding of the hysterectomy procedure and fibroids among an educated population, overall understanding was poor. Specific areas where knowledge was particularly poor were the different ways of doing a hysterectomy and uterine fibroids.

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Section: Discussionsupporting

confidence: 91%

Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy

Belilovets

Gopal²,

Stockwell

et al. 2020

Women's Health Reports

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“…Surprisingly, a lot of women who underwent a LASH are not aware of the cervical cancer screening recommendations following the operation. According to Mattingly et al [ 13 ], only 67% of the women were able to determine correctly postoperatively if the cervix was removed during surgery, 59% were aware that PAP Test screens and prevents cervical cancer and only 40% knew that HPV is associated with cervical cancer, underlining the urgent need to improve patient counseling preoperatively [ 11 , 13 ]. Moreover, LASH should not be recommended in women who have a high risk of developing a cervical carcinoma, such as abnormal PAP smears or infection with high-risk of HPV.…”

Section: Discussionmentioning

confidence: 99%

Advanced cervical stump cancer after laparoscopic subtotal hysterectomy: a case report of imaging, laparoscopic staging and treatment approach

Andrikos¹,

Andrikos²,

Naem

et al. 2023

BMC Women's Health

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Background Advanced cancer of the cervical stump, occurring years after a laparoscopic supracervical hysterectomy (LASH), is a rare but serious clinical condition. Many patients who undergo a LASH are unaware of this possible complication. Upon diagnosis of advanced cervical stump cancer, a holistic approach including imaging, laparoscopic surgery and multimodal oncological therapy is required. Case presentation A 58-year-old patient presented to our department with the suspicion of advanced cervical stump cancer eight years after LASH. She reported pelvic pain, irregular vaginal bleedings and irregular discharge. Gynaecological examination revealed a locally advanced tumor of the uterine cervix with suspicion of infiltration of the left parametria and bladder. After thorough diagnostic imaging and laparoscopic staging, the tumor stage was determined as FIGO IIIB and the patient was treated with combined radiochemotherapy. The patient presented with tumor recurrence 5 months after the completion of therapy and she is currently being treated with multichemotherapy and immunotherapy regimens as palliative treatment. Conclusion Patients should be made aware about the risk of cervical stump carcinoma after LASH and the necessity for regular screening. Cervical cancer after LASH is often diagnosed at advanced stages and the treatment requires an interdisciplinary approach.

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“…One of the most frequent problems and significant complaints experienced by women undergoing hysterectomy is pain in the postoperative period. Pain is a complex multifaceted phenomena, it is a subjective unique experience with sensory, affective, and evaluative qualities that may be difficult to describe or explain and often difficult for others to recognize, understand, and assess ( Magon et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of Enhanced Recovery After Surgery Protocol on Postoperative Outcomes of Women Undergoing Abdominal Hysterectomy

Ibrahim

Abdelfattah

2023

SAGE Open Nursing

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Background Enhanced recovery after surgery protocol is a standardized, multidisciplinary approach for shorter hospital stay without negatively affecting patient outcomes. The aim of this research was to evaluate the effect of enhanced recovery after surgery protocol on postoperative outcomes of women undergoing abdominal hysterectomy. Design A quasi-experimental design was adopted to fulfil the aim of this research. Setting The research was conducted at Obstetric and Gynecological Department in Benha University Hospital. Sample A purposive sample of 148 women undergoing abdominal hysterectomy divided into two groups. Data collection Three tools were used: Tool (I) structured questionnaire sheet. Tool (II) post-operative pain assessment scale (numerical rating scale). Tool (III) post-operative outcomes assessment sheet. Results There was a highly statistically significant difference between the studied groups regarding all postoperative outcomes ( p = .000). The women in the study group experienced less mean score of pain compared to those in control group on both 2nd and 3rd day after surgery. Also, there was a statistically significant difference between the studied groups regarding postoperative complication and readmission ( p = .000). Conclusion Women undergoing abdominal hysterectomy who received enhanced recovery after surgery protocol had better postoperative outcomes than women who received routine perioperative care.

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Patient knowledge of hysterectomy and pap screening after minimally invasive hysterectomy

Cited by 6 publications

References 11 publications

Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy

Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy

Advanced cervical stump cancer after laparoscopic subtotal hysterectomy: a case report of imaging, laparoscopic staging and treatment approach

Effect of Enhanced Recovery After Surgery Protocol on Postoperative Outcomes of Women Undergoing Abdominal Hysterectomy

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