title: A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes.
abstract: OBJECTIVE
  To compare operative and postoperative results of laparoscopic supracervical hysterectomy (LSH) and total abdominal hysterectomy (TAH).
  
  
  METHODS
  Cohort retrospective analysis of consecutive patients (Canadian Task Force classification II-3).
  
  
  METHODS
  Department of gynecology at a metropolitan medical center.
  
  
  METHODS
  Two hundred-twenty women who underwent LSH with or without bilateral salpingo-oophorectomy (BSO). Two hundred-twenty women who underwent TAH with or without BSO. Both groups had similar surgical indications and final pathology.
  
  
  RESULTS
  Women who underwent LSH had a shorter operating time than those in the TAH group (47.7 +/- 14.6 min vs 74.9 +/- 25.6 min). Hospital stay was significantly shorter in the LSH group, and those patients returned to work sooner. The operative complication rate was higher in the TAH group (2.7% vs 0.9%). Postoperative complication rate for the TAH group was higher than the LSH group (25% vs zero).
  
  
  CONCLUSIONS
  Laparoscopic supracervical hysterectomy is a safe and effective surgical treatment for patients in need of a hysterectomy with or without BSO. The procedure can be performed in an outpatient setting. Patients experience a much quicker recovery than those who undergo TAH, and the complication rate is significantly lower.
authors.affiliation: Department of Obstetrics and Gynecology, Medical Center of Arlington, Arlington, Texas 76014, USA. orsamini@comcast.net
authors.forename: O Robert
authors.initials: OR
authors.lastname: Sarmini
authors.forename: Kimberly
authors.initials: K
authors.lastname: Lefholz
authors.forename: Harry P
authors.initials: HP
authors.lastname: Froeschke
mesh_terms: D000328:Adult; D015331:Cohort Studies; D016001:Confidence Intervals; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008875:Middle Aged; D010149:Postoperative Pain; D011183:Postoperative Complications / Q000453:epidemiology; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000175:diagnosis* / Q000601:surgery*