Short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy.
OBJECTIVE
To compare short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH).


METHODS
Retrospective cohort study (Canadian Task Force classification II-1).


METHODS
University-affiliated hospital.


METHODS
One hundred fifty women who underwent LAVH and 146 who underwent TAH.


METHODS
Hysterectomy.


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).


CONCLUSIONS
Although short-term clinical results revealed some statistically significant differences between LAVH and TAH, long-term follow-up recorded similar frequencies of surgical sequelae.
Shen
Chung-Chang
CC
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung, Taiwan.
Wu
Ming-Ping
MP
Lu
Cheng-Hsien
CH
Huang
Eng-Yen
EY
Chang
Hsieh-Wen
HW
Huang
Fu-Jen
FJ
Hsu
Te-Yao
TY
Chang
Shiuh-Young
SY
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D010149:Postoperative Pain / Q000503:physiopathology; D011183:Postoperative Complications; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery*