[Clinical comparison of laparoscopy-assisted vaginal hysterectomy (LAVH) and total laparoscopy hysterectomy (TLH) in women with benign disease of uterus--a prospective randomized study].
OBJECTIVE
To compare two techniques of hysterectomy.


METHODS
Prospective, randomised study.


METHODS
Institute for the Mother and Child Care, Prague.


METHODS
85 patients randomized into two groups--laparoscopically assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH). The criteria studied were length of the procedure, blood loss, complication rate, uterus weight, rate of conversions, consumption of analgesics, inflammatory response.


RESULTS
Mean length of the procedure for LAVH, TLH was 85 and 111 min, respectivelly, the mean blood loss 306 and 184 ml. There was no difference in inflammatory response and use of antibiotics. Consumption of analgesics was higher in the TLH group. Conversions to laparotomy occurred only in the LAVH group. Only in the TLH group we noticed serious postoperative complications.


CONCLUSIONS
LAVH seems to be the preferable technique of hysterectomy for benign diseases of the uterus.
Drahonovský
J
J
Institute for the Mother and Child Care, Prague. drahonovsky@vol.cz
Pán
M
M
Baresová
S
S
Kucera
E
E
Feyereisl
J
J
D005260:Female; D006801:Humans; D007044:Hysterectomy; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D014591:Uterine Diseases / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery*