Short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy

Chung Chang Shen, Ming Ping Wu, Cheng Hsien Lu, Eng Yen Huang, Hsieh Wen Chang, Fu Jen Huang*, Te Yao Hsu, Shiuh Young Chang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

25 Scopus citations

Abstract

Study Objective. To compare short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH). Design. Retrospective cohort study (Canadian Task Force classification II-1). Setting. University-affiliated hospital. Patients. One hundred fifty women who underwent LAVH and 146 who underwent TAH. Intervention. Hysterectomy. Measurements and Main Results: Blood loss during surgery, narcotic analgesic consumption, duration of hospital stay, and convalescence time were significantly higher for women who underwent TAH than for those who underwent LAVH (p <0.05). Operating time was significantly longer for LAVH than for TAH (152.2 ± 32.4 vs 96.5 ± 29.6 min, p = 0.014). Eight-year follow-up showed no statistically significant differences in vaginal vault prolapse, cystocele, rectocele, enterocele, postcoital spotting, and cuff granulation between procedures (p >0.05). Conclusion. Although short-term clinical results revealed some statistically significant differences between LAVH and TAH, long-term follow-up recorded similar frequencies of surgical sequelae.

Original languageEnglish
Pages (from-to)49-54
Number of pages6
JournalJournal of the American Association of Gynecologic Laparoscopists
Volume10
Issue number1
DOIs
StatePublished - 02 2003

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