Laparoscopically assisted vaginal hysterectomy. A review of current issues.
A review of 39 articles found no consensus on indication for laparoscopic assisted vaginal hysterectomy (LAVH) compared with traditional approaches. Since only three randomized trials comparing LAVH with traditional methods exist, the scientific basis for surgical choice is lacking. Uncontrolled studies indicated that outcomes following LAVH were not superior to vaginal hysterectomy and costs were significantly higher.
Young
W
W
University of Toronto.
Cohen
M M
MM
D003362:Cost-Benefit Analysis; D005260:Female; D017722:Hospital Charges; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000191:economics / Q000592:standards*; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics / Q000592:standards*; D011183:Postoperative Complications / Q000453:epidemiology; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D013673:Technology Assessment, Biomedical / Q000379:methods*; D016896:Treatment Outcome