title: [Clinical comparison of transvaginal hysterectomy and laparoscopic hysterectomy].
abstract: OBJECTIVE
  To compare the clinical characteristics of transvaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH).
  
  
  METHODS
  Clinical data about 301 cases who received TVH and TLH were collected and the hospital stay days, medical expenses, diagnoses, operation and recovery status were compared between TVH and TLH groups.
  
  
  RESULTS
  The ratio of cervical atypical hyperplasia (9.64%), multipara (96.45%) in TVH was higher than that in TLH (2.88%, 89.42%). The ratio of adenoma (29.44%), adnexal disease (4.55%), pelvic endometriosis (4.06%), history of cesarean section (7.11%) in TVH were lower than that in TLH (43.27%, 31.73%, 12.50%, 24.04%). The operation time (76 +/- 28) minutes, bleeding during operation (170 +/- 125) ml, additional operations (5.08%), pelvic adhesion (4.57%), loosening of pelvic adhesion (0.51%), the diameter of the largest myoma or adenoma (49 +/- 17) mm, expenses for operation and hospitalization (1073 +/- 203) yuan in TVH were lower than those in TLH, which were (139 +/- 52) minutes, (206 +/- 153) ml, 36.54%, 41.35%, 17.31%, (57 +/- 22) mm, (1526 +/- 676) yuan respectively. The differences were significant (all P < 0.05). There was no difference of the uterine weight, complication and length of hospitalization duration between the two kinds of operation.
  
  
  CONCLUSIONS
  TVH is recommended in cases of few pelvic adhesion, or adnexal disease, cervical disease and of multipara. The uterine weight is not a decisive factor.
authors.affiliation: Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing 100034, China.
authors.forename: Wen-pei
authors.initials: WP
authors.lastname: Bai
authors.forename: Li-ping
authors.initials: LP
authors.lastname: Li
authors.forename: Mei-ying
authors.initials: MY
authors.lastname: Feng
authors.forename: Xiu-hua
authors.initials: XH
authors.lastname: Wang
authors.forename: Xiao-qi
authors.initials: XQ
authors.lastname: Qin
authors.forename: Ke-Min
authors.initials: KM
authors.lastname: Li
authors.forename: Ying-fang
authors.initials: YF
authors.lastname: Zhou
mesh_terms: D000367:Age Factors; D001835:Body Weight; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D007431:Intraoperative Complications / Q000209:etiology; D010535:Laparoscopy; D007902:Length of Stay; D016896:Treatment Outcome