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Hysterectomy is one of the most performed surgery in gynecologic surgery. Actually, 70 000 hysterectomies are performed each year in France. Laparoscopic surgery is in progression. The percentage of hysterectomies performed laparoscopically is increasing. The advantage of laparoscopy include fewer infections, less operative pain, faster recovery time and shorter hospital stay. In France, the average of hospital stay after laparoscopic hysterectomy reduced to 3-4 days.
The study hypothesis is that a shorter postoperative stay does not decrease the quality of life of the patients.
This study will compare the evolution of quality of life (with a questionnaire concerning measuring health related quality of life the Euroqol EQ-5D) of patients discharged after 3 days hospital stay to patients discharged the first day after a laparoscopic hysterectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A group : Conventional hospitalization | Other | Patients discharged after 3 days hospital stay after laparoscopic hysterectomy |
|
| B group : shorter stay | Experimental | Patients going home within 24 hours discharged the first day after laparoscopic hysterectomy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| shorter hospitalization stay | Other |
| ||
| questionnaires |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life assessed by the Euroqol EQ-5D | Measure of quality of life with a questionnaire concerning health related quality of life (the Euroqol EQ-5D).The patients will complete the questionnaire at up to 30th days after the laparoscopic hysterectomy. | up to 30th days after the laparoscopic hysterectomy. |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life with assessed by the short SF-36 score (the 36 items Short Form Health Survey). in pre-operative time and 30 days after the hysterectomy. | In pre-operative time and 30 days after the hysterectomy. | |
| Patient satisfaction | Patient satisfaction assessed one month after intervention |
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Inclusion criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chérif YOUSSEF AZER AKLADIOS, Doctor | Contact | 3 88 12 74 83 | 0033 | Cherif.YOUSSEF.AZER@chru-strasbourg.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôptaux Universitaires de Strasbourg, Département de Gynécologie-Obstétrique | Strasbourg | 67098 | France |
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|
| Evaluation of pain by Visual Analog Scale for Pain and by analgesic drugs consumption | the day of intervention, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, 7 days and 30 days after intervention |
| Anxiety assessment by the State trait anxiety inventory forme Y-A | before intervention, the firt day, the second day, the third day after intervention, one week after intervention and one month after intervention. |
| Patient recovery and discharge after intervention assessed by Post-Anaesthetic Discharge Scoring System (PADSS score). | 8 hours after laparoscopic surgery |
| Comparison between a hospital stay of 3-4 days after laparoscopic hysterectomy costs and hospital stay of 1day after laparoscopic hysterectomy costs from the day of intervention until one month after intervention. | The assessment will take into account any case of rehospitalization | each day from the date of intervention untill one month after intervention. |
| Perioperative morbidity | from intervention untill one month after intervention |
| Number of rehospitalization | one month after intervention |
| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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