ASSESSMENT OF WOMEN'S SATISFACTION AFTER HYSTERECTOMY USING TRADITIONAL METHEODS VERSUS LIGASURE SYSTEM

Abstract

Summary ysterectomy is the most common non-pregnancy-related gynecological surgical procedure performed all over the world, with one in three women having a hysterectomy by the age of 60 women in the United States (Nieboer and Johnson, 2009). LigaSure have been developed to seal large tissue bundles and blood vessels up to 7 mm diameter for some models (Lakemam et al., 2012). Patient satisfaction is a measurement designed to obtain reports or ratings from patients about services received from an organization, hospital, physician or health care provider. Research has developed the meaning of patient satisfaction to be more precisely defined as the patient experience. On a practical level, patient satisfaction is equivalent to the actual measure (Nikam, 2013). The study is descriptive. Its aim is to assess women's satisfaction after hysterectomy using traditional methods versus LigaSure system. This aim is achieved through answering the following question: Does using LigaSure system during hysterectomy increase women's satisfaction more than traditional methods? H Summary 126 Subject and Methods This study was conducted at the Operating room and obstetrical & gynecological inpatient units at Ain Shams University Maternity Hospital.The subjects of the present study included 80 patients (40 patients used traditional methods &40 patients used LigaSure system) selected under the following inclusion criteria: Free age, absence of endometriosis, Absence of adnexal mass and for benign condition. There are two types of tools for data collection that are used for achieving the aim of this study: It will be designed by the researcher divided in to the following parts: 1- Pre, intra and postoperative assessment sheet Part 1- Preoperative assessment; which covered the following items, history taking, results of pelvic ultrasound, results of routine preoperative examination &laboratory investigations, Some of the questions were subdivided to cover about 2 to 3 aspects. Part 2-intraoperative assessment; which covered the following items, total operative time, and amount of blood loss, It was estimated via, a) amount of blood in the suction bottle, b) estimation based on number of soaked gauzes and degree of soaking (soaked gauze = 20 ml blood; hemisoaked gauze = 10 ml; soaked towel = 150 ml; semisoaked towel = 75 ml), (Sheth et al., 2011).