title: Value of laparoscopic assistance for vaginal hysterectomy with prophylactic bilateral oophorectomy.
abstract: OBJECTIVE
  This study was undertaken to compare morbidity for women undergoing laparoscopy-assisted vaginal hysterectomy with bilateral oophorectomy (LAVHO) and vaginal hysterectomy with bilateral oophorectomy without laparoscopic assistance (VHO).
  
  
  METHODS
  Between April 1, 2002, and February 1, 2004, a prospective randomized study at Marseille University Hospital (La Conception) included 48 patients who underwent a hysterectomy with prophylactic bilateral oophorectomy for benign uterine conditions. These patients were allocated to 2 groups (LAVHO vs VHO). The study variables were duration of surgery and of hospitalization and surgical and postoperative complications.
  
  
  RESULTS
  There was no significant difference in the duration of surgery between the LAVHO and VHO groups (100.2 +/- 27.9 vs 83.9 +/- 34.6, P = .08). The rate of complications was significantly higher in the LAVHO group (13/24 [54.1%] vs 6/24 [25%], P = .039).
  
  
  CONCLUSIONS
  The overall complication rate was higher with LAVHO than VHO. It thus appears that laparoscopic assistance is not useful in performing vaginal hysterectomies with prophylactic bilateral oophorectomies in patients without other related disorders (endometriosis, adhesions, adnexal anomalies).
authors.affiliation: Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France.
authors.forename: Aubert
authors.initials: A
authors.lastname: Agostini
authors.forename: Nadège
authors.initials: N
authors.lastname: Vejux
authors.forename: Florence
authors.initials: F
authors.lastname: Bretelle
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Collette
authors.forename: Thomas
authors.initials: T
authors.lastname: De Lapparent
authors.forename: Ludovic
authors.initials: L
authors.lastname: Cravello
authors.forename: Bernard
authors.initials: B
authors.lastname: Blanc
mesh_terms: D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008875:Middle Aged; D010052:Ovariectomy; D011446:Prospective Studies; D014591:Uterine Diseases / Q000601:surgery