Psychische Operationsverarbeitung nach verschiedenen Formen der Hysterektomie

This study evaluated psychological processing and “stress response syndrome” after different hysterectomy techniques in 41 premenopausal, sexually active women with benign disease, assessed 3, 6, 9, and 12 months postoperatively. Women underwent vaginal, abdominal, laparoscopy-assisted, or pelviscopic intrafascial (CASH) hysterectomy, and outcomes were measured using a standardized, prospectively randomized questionnaire with a scoring system plus multiple psychological interviews and the 16-Personality Factor test to support data reliability. The CASH group showed significantly better personal self-image in five comparisons and significantly less grief work related to uterine loss in eight comparisons versus extrafascial techniques, while there were no significant differences among VH, AH, and LAVH. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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