Huff Keren O, Aref-Adib Mehrnoosh, Magama Zwelihle, Vlachodimitropoulou Evangelia K, Oliver Reeba, Odejinmi Funlayo
Department of Gynecology, Whipps Cross University Hospital, London, UK.
Acta Obstet Gynecol Scand. 2018 Jan;97(1):68-73. doi: 10.1111/aogs.13246. Epub 2017 Nov 9.
Laparoscopic myomectomy offers women many benefits over conventional open surgery, including an expedited recovery and return to employment. Our study evaluates the time taken for women to return to work after laparoscopic myomectomy and identifies factors prolonging recovery to > 8 weeks.
We prospectively evaluated 94 women undergoing laparoscopic myomectomy by a single surgeon between January 2012 and March 2015. Women had standardized preoperative counseling and completed a validated return to work questionnaire 3 months postoperatively via telephone, post or in clinic.
In all, 71/94 (75.5%) women completed the questionnaire. Results were analyzed comparing women who returned to work in ≤ 8 weeks [43/71 (60.6%)] with those who returned > 8 weeks postoperatively [28/71 (39.4%)]. A higher proportion of Asian and Caucasian women returned to work in ≤ 8 weeks (24/29) compared with black African and Caribbean women (19/42) (p = 0.003). Mean number of fibroids removed (2.59 and 5.75, respectively) was the only significantly differing factor between the two groups (p = 0.004). There was a significant difference in body mass index (BMI) and time to return to normal activity between the ≤ 8-week and > 8-week groups (p = 0.027, p = 0.011, respectively). Logistic regression analysis demonstrated that BMI and time to return to normal activity were the only factors prolonging recovery to > 8 weeks (p = 0.039, p = 0.015, respectively).
Time to return to normal activity and BMI significantly influenced the time taken for women to work after laparoscopic myomectomy. Further data would support clinicians in counseling women appropriately and optimizing their postoperative return to employment.
与传统开放性手术相比，腹腔镜子宫肌瘤切除术为女性带来诸多益处，包括恢复更快且能更快重返工作岗位。我们的研究评估了女性在腹腔镜子宫肌瘤切除术后重返工作岗位所需的时间，并确定了恢复时间延长至超过8周的因素。
我们前瞻性地评估了2012年1月至2015年3月间由单一外科医生进行腹腔镜子宫肌瘤切除术的94名女性。这些女性接受了标准化的术前咨询，并在术后3个月通过电话、邮寄或门诊完成一份经过验证的重返工作问卷。
总共有71/94（75.5%）名女性完成了问卷。将术后≤8周重返工作岗位的女性[43/71（60.6%）]与术后>8周重返工作岗位的女性[28/71（39.4%）]进行比较分析结果。与非洲裔和加勒比黑人女性（19/42）相比，亚洲和白种女性中在≤8周内重返工作岗位的比例更高（24/29）（p = 0.003）。两组之间唯一显著不同的因素是平均切除肌瘤数量（分别为2.59和5.75）（p = 0.004）。≤8周组和>8周组之间的体重指数（BMI）以及恢复正常活动的时间存在显著差异（分别为p = 0.027，p = 0.011）。逻辑回归分析表明，BMI和恢复正常活动的时间是恢复时间延长至超过8周的唯一因素（分别为p = 0.039，p = 0.015）。
恢复正常活动的时间和BMI显著影响女性在腹腔镜子宫肌瘤切除术后重返工作岗位的时间。更多数据将有助于临床医生对女性进行适当的咨询，并优化她们术后重返工作的情况。
