Value of laparoscopic assistance for vaginal hysterectomy with prophylactic bilateral oophorectomy.
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).
Agostini
Aubert
A
Department of Obstetrics and Gynecology, La Conception University Hospital, Marseille, France.
Vejux
Nadège
N
Bretelle
Florence
F
Collette
Emmanuelle
E
De Lapparent
Thomas
T
Cravello
Ludovic
L
Blanc
Bernard
B
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