title: Morbidity with total laparoscopic and laparoscopically assisted vaginal hysterectomy.
abstract: We evaluated the operative and postoperative morbidity among 103 women who underwent total laparoscopic hysterectomy and 107 others who underwent laparoscopically assisted vaginal hysterectomy. Blood loss was significantly greater in the assisted vaginal hysterectomy group (178.0 ± 12.1 ml) than in the total hysterectomy group (130.2 ± 10.7 ml) (p < 0.001). Despite higher uterine weight in the total hysterectomy group, the operative time of both techniques was similar. The complications of both hysterectomies were also comparable. The results from our study suggest that the complication rates of laparoscopically assisted vaginal hysterectomy and total hysterectomy are similar. However, laparoscopically assisted vaginal hysterectomy is associated with increased blood loss.
authors.affiliation: Department of Obstetrics and Gynecology, University of Dammam, Saudi Arabia.
authors.forename: Ayman
authors.initials: A
authors.lastname: Al-talib
authors.forename: Boaz
authors.initials: B
authors.lastname: Sheizaf
authors.forename: Benny
authors.initials: B
authors.lastname: Almog
authors.forename: Ashraf
authors.initials: A
authors.lastname: Dawood
authors.forename: Srinivasan
authors.initials: S
authors.lastname: Krishnamurthy
authors.forename: Togas
authors.initials: T
authors.lastname: Tulandi
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data*; D015897:Comorbidity; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D007045:Hysterectomy, Vaginal / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D014591:Uterine Diseases / Q000601:surgery; D016387:Women's Health