Surgical Outcome of Single Site Total Laparoscopic Hysterectomy for Mental Restriction Patients and Caregiver Satisfaction

Thongprasert K, MD¹, Tingthanatikul Y, MD¹, O-Prasertsawat P, MD¹

Affiliation : ¹ Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Objective: To evaluate the operative outcomes and complication that include short-term and long-term in mental restriction patients and caregiver satisfaction after laparo-endoscopic single site (LESS) hysterectomy.
Materials and Methods: The present study was a retrospective study of 100 mental restriction patients that underwent hysterectomy with LESS technique between August 2011 and November 2017 at Ramathibodi Hospital. The data such as patient characteristics, preoperative diagnosis, operative procedure, operative outcome, and postoperative complication were collected from the medical record. Caregiver satisfaction and long-term operative outcomes were collected by sending the questionnaires to the caregivers and using Likert scale for the assessment of satisfaction level.
Results: One hundred mental restriction patients were included in the present study. The mean age of the patient was 13.8 years old. The most common cause of mental restriction was Down syndrome. Ninety-four patients were successfully performed LESS hysterectomy, another five patients had an additional port due to various reasons and one patient was performed LESS subtotal hysterectomy. Postoperative minor complication was noted in 5 patients composed of postoperative fever and abdominal bruise in 4 patients and 1 patient, respectively. The overall caregiver satisfaction level after LESS hysterectomy was extremely satisfied. Almost all of the patients had no visible surgical scar.
Conclusion: LESS hysterectomy in patient with mental restriction had good outcomes and minimal morbidity. So, it is one of the good choice for hysterectomy for this group of patients.

Keywords : Mental restriction, Laparo-endoscopic single site (LESS) hysterectomy

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