Abstract
We set out to compare the length of stay, costs, and morbidity associated with laparoscopic supracervical hysterectomy (LSH) with laparoscopically assisted vaginal hysterectomy (LAVH). We performed a cohort analysis of consecutive patients at a university-based medical center from April 1997 through October 1999. A total of 145 patients were identified initially; however, 13 cases were excluded because of concomitant procedures (retropubic urethropexy, lymphadenectomy, paravaginal repair). Of the 132 patients included in the study, 27 underwent LSH and 105 underwent LAVH. The two groups were similar with respect to gravidity, parity, uterine weight, and preoperative diagnosis. Patients undergoing LSH had significantly shorter operating times (median, 181 vs 220 min, p = 0.007), briefer hospital stays (median, 1.0 vs 2.0 days, p = 0.0001), and less blood loss (median, 125 vs 400 ml, p = 0.0001). None of the patients submitted to LSH experienced morbidity, as compared with a 13% morbidity rate for LAVH (bladder injury, n = 3; blood loss >1000 ml, n = 7; vaginal cuff hematoma, n = 4; 0% vs 13%; p = 0.04). Patients undergoing laparoscopic supracervical hysterectomy had shorter operating times, shorter hospital stays, and less morbi...Continue Reading
References
Jan 1, 1982·Acta Obstetricia Et Gynecologica Scandinavica·P Kilkku, M Grönroos
Dec 1, 1982·American Journal of Obstetrics and Gynecology·R C DickerH W Ory
Aug 15, 1996·The New England Journal of Medicine·J H DorseyE P Steinberg
Jan 1, 1997·Obstetrics and Gynecology·M G Munro
Aug 1, 1995·The Journal of the American Association of Gynecologic Laparoscopists·S R Richards, S Simpkins
Nov 5, 1997·JAMA : the Journal of the American Medical Association
Oct 6, 1997·British Journal of Obstetrics and Gynaecology·J DonnezF Casanas-Roux
May 22, 1998·The Journal of the American Association of Gynecologic Laparoscopists·A J KreschG M Savage
Jul 2, 1999·Obstetrics and Gynecology·P Härkki-SirenT Kurki
Citations
Nov 30, 2011·Archives of Gynecology and Obstetrics·Deslyn T G HobsonAwoniyi O Awonuga
Dec 17, 2011·Archives of Gynecology and Obstetrics·Dietmar Grosse-DrielingJuliane Theben
Feb 9, 2007·Surgical Endoscopy·H XuZ Liang
Apr 4, 2009·Surgical Endoscopy·Santiago HorganPedro Ferraina
Oct 13, 2006·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Pao-Ling TorngTa-Chen Su
May 21, 2005·Journal of Minimally Invasive Gynecology·Jack Y J HuangTogas Tulandi
May 21, 2005·Journal of Minimally Invasive Gynecology·O Robert SarminiHarry P Froeschke
Jun 1, 2005·Journal of Minimally Invasive Gynecology·Ali GhomiE C Lotze
May 7, 2003·The Journal of the American Association of Gynecologic Laparoscopists·Sari L KivesUNKNOWN American Association of Gynecologic Laparoscopists
Aug 2, 2002·Current Opinion in Obstetrics & Gynecology·Arnaud WattiezLuigi Selvaggi
Aug 8, 2009·Clinical Obstetrics and Gynecology·Andrew I Sokol, Isabel C Green
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Xue SongGregory J Raff
Jun 8, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Garri TchartchianRudy Leon de Wilde
Apr 1, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Boqun XuZhining Fan
Jun 5, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kazem NouriJohannes Ott
Aug 21, 2013·Journal of Minimally Invasive Gynecology·UNKNOWN American Association of Gynecologic Laparoscopists
Sep 14, 2010·Journal of Robotic Surgery·Bang N GiepHelen B Hubert
Mar 5, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Roos M SmitsCathelijne F Van Heteren
Mar 21, 2013·Journal of Minimally Invasive Gynecology·Erin M Nesbitt-HawesJason A Abbott
Nov 15, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·J Niro, P Panel
Jun 7, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jung Hun LeeJong Woon Bae
Mar 1, 2011·Journal of Minimally Invasive Gynecology·Ali GhomiJon Einarsson
Dec 27, 2008·Journal of Minimally Invasive Gynecology·Charles E Miller
May 16, 2006·Journal of Minimally Invasive Gynecology·Bernd BojahrRalf Ohlinger
Feb 11, 2005·The Journal of the American Association of Gynecologic Laparoscopists·Yue-Shan Lin
Jul 23, 2005·Journal of Minimally Invasive Gynecology·Wen-Chun ChangDaw-Yuan Chang
Jun 18, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Diaa El-MowafiJean-Marie Wenger
May 5, 2007·Journal of Minimally Invasive Gynecology·Thomas Lyons
Apr 27, 2010·Journal of Minimally Invasive Gynecology·Peter RosenblattAnthony DiSciullo
Aug 19, 2015·Gynecological Surgery·Elizabeth A PrittsDavid L Olive
Nov 3, 2009·American Journal of Obstetrics and Gynecology·Ozgur H HarmanliAlexander Knee
Dec 17, 2014·Archives of Gynecology and Obstetrics·Carlo SaccardiPietro Litta
Jun 2, 2016·Archives of Gynecology and Obstetrics·Holm EggemannAtanas Ignatov
Dec 14, 2004·American Journal of Obstetrics and Gynecology·Todd R Jenkins
Jun 15, 2007·Surgical Innovation·Stephanie N McClellanBram H Goldstein
Sep 14, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·John Jarrell
Dec 8, 2017·Obstetrics and Gynecology·Jacqueline M K WongMagdy P Milad
Mar 31, 2004·Obstetrics and Gynecology·Eric M HeinbergDavid J Bonilla
Jan 1, 2014·International Scholarly Research Notices·Shilpa BhandariAparna Singh
May 20, 2003·Acta Obstetricia Et Gynecologica Scandinavica·M K Oehler, M C P Rees
Aug 28, 2020·Curēus·Chris A RobertRikinkumar S Patel