D.I. NIZOVA, T.A. GLEBOV, A.A. POPOV, I.D. KLYUSHNIKOV

 Moscow Regional Research Institute of Obstetrics and Gynecology named after Acad. V.I. Krasnopolsky, Moscow

Contact details:

Nizova D.I. — post-graduate student of the Department of Operative Gynecology with Oncogynecology and day hospital

Address: 22a Pokrovka St., 101000 Moscow, Russian Federation, tel.: +7-965-684-45-45, e-mail: dasha.389870@yandex.ru

 The purpose — to assess the quality of life of women of reproductive age who underwent hysterectomy using robot-assisted laparoscopy using a questionnaire, in order to develop an optimal personalized algorithm for corrective therapy in the postoperative period.

Material and methods. The retrospective study included 90 patients who underwent radical surgery in reproductive age with robot-assisted laparoscopy from 2018 to 2023. The quality of life of these patients in the delayed period was analyzed using a questionnaire based on Greene Scale, WHO Quality of Life Questionnaire (brief) (WHOQOL-26), and Female Sexual Function Index (FSFI).

Results. According to the Greene Scale, climacteric syndrome was most often observed in patients who underwent hysterectomy with appendages on both sides (group III) (93.3%). The patients most often noted no signs of climacteric syndrome after hysterectomy with one of the appendages (70%). According to the quality-of-life questionnaire developed by WHO (WHOQOL-26), various disorders associated with the volume of surgical treatment were not noted in certain types of organ-sparing treatment. According to the Female Sexual Function Index (FSFI), a pronounced degree of sexual dysfunction was observed in patients who underwent hysterectomy with appendages on both sides, and minimal dysfunction was observed in patients after hysterectomy with one of the appendages.

Conclusion. Practicing gynecologists must consider the impact of various degrees of treatment on subsequent quality of life. This concept is multifaceted and encompasses not only physical but also psychological well-being. The negative impact on quality-of-life stems not only from the radical nature of surgical treatment, but also the presence and severity of menopausal disorders.

Key words: hysterectomy, extirpation of the uterus, posthysterectomy syndrome, robotic surgery.

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