Quality of recovery after total abdominal hysterectomy

Introduction: Open gynecological surgery results in a large wound and severe postoperative pain, and adequate postoperative analgesia is necessary. This observational case review aimed to assess the quality of postoperative recovery in women undergoing open abdominal hysterectomy under general anesthesia.
Aim: This study aimed to evaluate the quality of recovery and analgesia performed under general anesthesia in total abdominal hysterectomy (TAH).
Patients and Methods: This retrospective observational case review was conducted in 26 females, ASA I or II, who presented for elective TAH under standard general anesthesia (GA). The primary outcome was the postoperative pain and analgesia assessed by using the Quality of Recovery Scale (QoR-40) and Visual Analog Scale (VAS scale). Secondary outcomes included the intraoperative opioid consumption, time to first flatus, and time to first discharge from bed, postoperative nausea and vomiting, and patient satisfaction. Conclusion: The observational case review presented through open hysterectomy conducted under general endotracheal anesthesia showed postoperative global QoR-40 scores ranging between 218.24 and 282.02 (198-245). Furthermore, intraoperatively opioid consumption was high, and postoperatively, the time to first flatus, time to first discharge from bed, and post-anesthesia care unit discharge time were prolonged. Patient satisfaction was average.