Original Investigation

Does minimally invasive surgery reduce anxiety?


  • Evrim Bostancı Ergen
  • Yaşam Kemal Akpak
  • Çetin Kılıççı
  • Çiğdem Abide Yayla
  • Selçuk Ayas

Received Date: 22.05.2018 Accepted Date: 06.07.2018 J Turk Ger Gynecol Assoc 0;0(0):0-0 [e-Pub] PMID: 29983402


To evaluate whether there were any differences in preoperative and postoperative anxiety in patients who underwent total laparoscopic hysterectomy (TLH) (n=37) and total abdominal hysterectomy (TAH) (n=37).

Material and Methods:

All premenopausal patients who underwent TLH or TAH because of benign uterine disorders were enrolled. Anxiety status was assessed 6 hours before and after the operation using standardized validated questionnaires: State-Trait Anxiety Inventory.


In the TAH group, the state anxiety level of the patients significantly increased, whereas there was a significant decrease in the TLH group. For the trait anxiety level, there was a statistically significant increase in the TAH group postoperatively. In the TLH group, trait anxiety levels decreased postoperatively. In the analysis of between-group differences, pre and postoperative the state anxiety level was higher in the TAH group. A statistically significant difference was determined between the groups in respect of the postoperative state anxiety levels (p<0.05), but not in the preoperative state anxiety levels (p>0.05). Statistically significant differences were determined between the groups in respect of education, occupation, and curettage rates (p<0.05).


Women undergoing TLH for benign uterine disease may have lower levels of preoperative and postoperative anxiety than women undergoing TAH.

Keywords: Preoperative, postoperative, anxiety, total abdominal hysterectomy, total laparoscopic hysterectomy