Comparison of laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy
نویسندگان
چکیده مقاله:
Abstract Background: Hysterectomy is the second most common major surgery procedure done after cesarean section by gynecologists in many countries and the most common procedure is total abdominal hysterectomy (TAH). The incidence of laparoscopically assisted vaginal hysterectomy (LAVH) performed for benign lesions has progressively increased in recent years. Our objective was to compare the relative advantages and disadvantages of LAVH and TAH procedures. Methods: A clinical trial was performed on patients who were candidates for hysterectomy with benign reasons in Arash hospital from March 2006 to April 2007. By simple randomization, 90 patients (30 for LAVH and 60 for TAH) were selected. Demographic details and intra-operative and post-operative complications were recorded by the staff and were compared between the two groups. Results: On average, LAVH operations took significantly longer than TAH operations (100.17 ± 39.35 minutes 145.83 ± 41.55 minutes P< 0.0001). The total length of hospital stay was significantly shorter after LAVH than after TAH (3.43 ± 0.90 days 3.94 ± 1.02 P= 0.025). Although the hemoglobin (gr/dl) drop in LAVH was significantly higher than TAH (1.22 ± 0.94 and 0.58 ± 0.82, P=0.0012), blood transfusions were more common in TAH (1 case versus 3 cases). The drug requirement to control pain during hospitalization after the two surgeries was not significantly different between the two groups. Fever was observed more often in the TAH group (P = 0.051). Finally, Intra-operative and post-operative complications were lower in LAVH than TAH. Conclusion: Although operation length is significantly higher in LAVH, this procedure is safer and more comfortable for patients and health care providers.
منابع مشابه
comparison of laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy
abstract background: hysterectomy is the second most common major surgery procedure done after cesarean section by gynecologists in many countries and the most common procedure is total abdominal hysterectomy (tah). the incidence of laparoscopically assisted vaginal hysterectomy (lavh) performed for benign lesions has progressively increased in recent years. our objective was to compare the r...
متن کاملComparison of Laparoscopic-assisted Vaginal Hysterectomy, Total Abdominal Hysterectomy and Vaginal Hysterectomy
متن کامل
Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy.
OBJECTIVE We compared operative time, length of hospital stay, postoperative recovery, return to work, and costs for women undergoing laparoscopically assisted vaginal hysterectomy or abdominal hysterectomy. STUDY DESIGN A prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy (n = 24) versus abdominal hysterectomy (n = 24) was carried out in a tertiary care s...
متن کاملLaparoscopically assisted vaginal hysterectomy appears to be an alternative to total abdominal hysterectomy.
Seventy percent of hysterectomies in the United States are performed as total abdominal hysterectomies (TAH). Laparoscopic assisted vaginal hysterectomy (LAVH) has been promoted by some to be a low morbidity substitute for TAH. In this study, we compared the outcomes of 61 recent LAVH cases to 65 TAH cases performed during an earlier time interval. Data were abstracted from the charts of 65 TAH...
متن کاملLaparoscopically Assisted Vaginal Hysterectomy Versus Vaginal Hysterectomy for Enlarged Uterus
OBJECTIVES To compare the surgical and immediate postoperative outcomes for vaginal hysterectomy (VH) with those for laparoscopically assisted vaginal hysterectomy (LAVH) in patients with enlarged myomatous uterus. METHODS Eighty women requiring hysterectomy for an enlarged myomatous uterus were randomly allocated into 2 treatment arms: VH (n=40) and LAVH (n=40). The randomization procedure w...
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عنوان ژورنال
دوره 22 شماره 1
صفحات 22- 28
تاریخ انتشار 2008-05
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