1. Returning to work after laparoscopic myomectomy: a prospective observational study.
- Author
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Huff KO, Aref-Adib M, Magama Z, Vlachodimitropoulou EK, Oliver R, and Odejinmi F
- Subjects
- Adult, Body Mass Index, Female, Humans, Middle Aged, Obesity epidemiology, Postoperative Period, Prospective Studies, Time Factors, United Kingdom epidemiology, Laparoscopy methods, Laparoscopy rehabilitation, Laparoscopy statistics & numerical data, Leiomyoma ethnology, Leiomyoma pathology, Leiomyoma surgery, Obesity diagnosis, Return to Work statistics & numerical data, Uterine Myomectomy methods, Uterine Myomectomy rehabilitation, Uterine Myomectomy statistics & numerical data, Uterine Neoplasms ethnology, Uterine Neoplasms pathology, Uterine Neoplasms surgery
- Abstract
Introduction: 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., Material and Methods: 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., Results: 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)., Conclusions: 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., (© 2017 Nordic Federation of Societies of Obstetrics and Gynecology.)
- Published
- 2018
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