Skip to main content
Journal cover image

Patient preferences of cosmesis for abdominal incisions in gynecologic surgery.

Publication ,  Journal Article
Yeung, PP; Bolden, CR; Westreich, D; Sobolewski, C
Published in: J Minim Invasive Gynecol
2013

STUDY OBJECTIVE: To estimate patient preferences insofar as the cosmetic appeal of abdominal incisions used for hysterectomy. We hypothesized that the laparoendoscopic single-site surgery (LESS) incision would be preferred cosmetically to traditional multiport laparoscopic incisions and open abdominal incisions via Pfannenstiel, vertical midline, or horizontal mini-laparotomy. DESIGN: Prospective comparative study (Canadian Task Force classification II-2). SETTING: Two gynecology clinics at Duke University Medical Center in Durham, North Carolina. PATIENTS: Seventy-three women including 50 consecutive women from a private specialty clinic and 23 consecutive women from a resident indigent care clinic. INTERVENTIONS: A brief questionnaire was distributed that assessed preferences via ranking and by using a visual analog scale. Patients were also asked to rate the importance of 4 factors in their decision making: size, location, and number of incisions, and perceived recovery time. Descriptive statistics, t tests, Wilcoxon rank-sum tests, and χ(2) tests were used to compare continuous or categorical values. MEASUREMENTS AND MAIN RESULTS: Overall, the LESS incision was the most preferred incision according to most common choice and visual analog scale scores. In the private clinic, the LESS incision was preferred most often, with 53% of women (39/73) ranking it as their first choice. In the resident clinic, the horizontal mini-laparotomy incision was preferred most often, with 27% of women (20/73) ranking it their first choice. Neither the demographic factors nor any of the factors in decision making explained the difference between the clinics. CONCLUSION: The LESS incision was most preferred in this study. However, the horizontal mini-laparotomy incision and the traditional laparoscopic with low lateral incisions were also highly preferred. Patient perception of the "visibility" of abdominal incisions may be the distinguishing issue to explain the difference in the preferences between the clinics and the differences between the present study and previously published studies of cosmetic preferences.

Duke Scholars

Published In

J Minim Invasive Gynecol

DOI

EISSN

1553-4669

Publication Date

2013

Volume

20

Issue

1

Start / End Page

79 / 84

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Prospective Studies
  • Patient Preference
  • Pain Measurement
  • Obstetrics & Reproductive Medicine
  • North Carolina
  • Middle Aged
  • Laparoscopy
  • Hysterectomy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Yeung, P. P., Bolden, C. R., Westreich, D., & Sobolewski, C. (2013). Patient preferences of cosmesis for abdominal incisions in gynecologic surgery. J Minim Invasive Gynecol, 20(1), 79–84. https://doi.org/10.1016/j.jmig.2012.09.008
Yeung, Patrick P., Carlos R. Bolden, Daniel Westreich, and Craig Sobolewski. “Patient preferences of cosmesis for abdominal incisions in gynecologic surgery.J Minim Invasive Gynecol 20, no. 1 (2013): 79–84. https://doi.org/10.1016/j.jmig.2012.09.008.
Yeung PP, Bolden CR, Westreich D, Sobolewski C. Patient preferences of cosmesis for abdominal incisions in gynecologic surgery. J Minim Invasive Gynecol. 2013;20(1):79–84.
Yeung, Patrick P., et al. “Patient preferences of cosmesis for abdominal incisions in gynecologic surgery.J Minim Invasive Gynecol, vol. 20, no. 1, 2013, pp. 79–84. Pubmed, doi:10.1016/j.jmig.2012.09.008.
Yeung PP, Bolden CR, Westreich D, Sobolewski C. Patient preferences of cosmesis for abdominal incisions in gynecologic surgery. J Minim Invasive Gynecol. 2013;20(1):79–84.
Journal cover image

Published In

J Minim Invasive Gynecol

DOI

EISSN

1553-4669

Publication Date

2013

Volume

20

Issue

1

Start / End Page

79 / 84

Location

United States

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Prospective Studies
  • Patient Preference
  • Pain Measurement
  • Obstetrics & Reproductive Medicine
  • North Carolina
  • Middle Aged
  • Laparoscopy
  • Hysterectomy