title: Short- and long-term clinical results of laparoscopic-assisted vaginal hysterectomy and total abdominal hysterectomy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, 123, Ta-Pei Road, Niao Sung Hsiang, Kaohsiung, Taiwan.
authors.forename: Chung-Chang
authors.initials: CC
authors.lastname: Shen
authors.forename: Ming-Ping
authors.initials: MP
authors.lastname: Wu
authors.forename: Cheng-Hsien
authors.initials: CH
authors.lastname: Lu
authors.forename: Eng-Yen
authors.initials: EY
authors.lastname: Huang
authors.forename: Hsieh-Wen
authors.initials: HW
authors.lastname: Chang
authors.forename: Fu-Jen
authors.initials: FJ
authors.lastname: Huang
authors.forename: Te-Yao
authors.initials: TY
authors.lastname: Hsu
authors.forename: Shiuh-Young
authors.initials: SY
authors.lastname: Chang
mesh_terms: 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*