A randomised prospective trial comparing laparoscopic and abdominal hysterectomy

British Journal of Obstetrics and Gynaecology
J H OlssonM Hahlin

Abstract

To compare short term clinical results in a prospective randomised trial of laparoscopic hysterectomy compared with abdominal hysterectomy. One hundred and forty-three women scheduled for total abdominal hysterectomy, with or without salpingo-oophorectomy and with a maximum uterine width of less than ll cm, were prospectively randomised to undergo the procedure by laparoscopic hysterectomy (n = 71) or abdominal hysterectomy (n = 72). During laparoscopic hysterectomy, the uterine arteries as well as the upper portion of the cardinal ligaments were transected laparoscopically. The perioperative and post-operative courses of the groups were compared. The number of women with a complication did not differ significantly between laparoscopic hysterectomy (27%) and abdominal hysterectomy (33%) groups. The post-operative fall in erythrocyte volume fraction was significantly greater following abdominal hysterectomy (5.6% compared with 4.1% median value, P < 0.001). Post operative pain, assessed by the patients two days after surgery on a visual analogue scale, was significantly higher following abdominal hysterectomy (4.2 compared with 3.6 units median value, P < 0.05). Although laparoscopic hysterectomy took longer (148 min compared wi...Continue Reading

References

Sep 1, 1992·American Journal of Obstetrics and Gynecology·M B Woodland
May 1, 1992·British Journal of Obstetrics and Gynaecology·M P VesseyD Yeates
Mar 1, 1991·Endoscopy·L MinelliV Palmara
Jul 16, 1982·JAMA : the Journal of the American Medical Association·R C DickerJ C Smith
Feb 2, 1994·Journal of Gynecologic Surgery·F M Howard, R Sanchez

❮ Previous
Next ❯

Citations

Jun 12, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Michael D MoenUNKNOWN Urogynecology Network
Mar 21, 2007·Archives of Gynecology and Obstetrics·Mert GolMustafa Eminoglu
Feb 3, 2009·Archives of Gynecology and Obstetrics·Cemal ArkOzgu Celikkol
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
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Filip Claerhout, Jan Deprest
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Ray Garry
May 21, 2005·Journal of Minimally Invasive Gynecology·O Robert SarminiHarry P Froeschke
Aug 22, 2001·American Journal of Surgery·T GyrM Franchi
Sep 27, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S C RibeiroJ A Pinotti
Aug 23, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C MøllerB Ottesen
Jul 1, 1997·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J B De Meeus, G Magnin
Mar 22, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·C ChapronJ B Dubuisson
Oct 6, 1999·Journal of the American College of Surgeons·S S MeltomaaH Y Helenius
Jan 16, 1998·Clinical Obstetrics and Gynecology·G R Meeks, R L Harris
Nov 26, 1999·Clinical Obstetrics and Gynecology·G M Stirrat, B Ramsay
Jan 7, 2009·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Glenn E PalomakiStephen N Thibodeau
Jun 19, 1998·The Journal of Obstetrics and Gynaecology Research·J SongM A Lee
Mar 6, 1999·The Journal of Obstetrics and Gynaecology Research·J SongP S Ku
Nov 1, 1996·British Journal of Obstetrics and Gynaecology·B R ThakarI T Manyonda
Jun 25, 2005·BMJ : British Medical Journal·Neil JohnsonRay Garry
May 25, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Richard H Demir, Gregory J Marchand
May 14, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Raj Mohan Paspulati, Tejas A Dalal
Mar 3, 1999·Hawaii Medical Journal·M T Wakabayashi
Jan 4, 2012·Taiwanese Journal of Obstetrics & Gynecology·Kai-Yun WuChyi-Long Lee
Sep 27, 2001·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·K H Kim, K A Lee
Oct 3, 2009·Taiwanese Journal of Obstetrics & Gynecology·Szu-Yu ChenWen-Chun Chang
Jun 16, 2010·Journal of Minimally Invasive Gynecology·David O HoltzCharles J Dunton
Mar 28, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Colin A WalshMark Slack
Dec 8, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Kirsten B KluiversBen W J Mol
Mar 27, 2015·Asian Journal of Endoscopic Surgery·Samsad JahanReefat Nayer
Sep 13, 2007·Journal of Minimally Invasive Gynecology·Andrea FiaccaventoLuca Minelli
Sep 13, 2007·Journal of Minimally Invasive Gynecology·Ludovico MuziiPierluigi Benedetti Panici
Dec 6, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Richard Owusu-AnsahPatrick F W Chien
Jun 3, 2011·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Taejong SongDuk-Soo Bae
Nov 19, 2010·The Journal of Obstetrics and Gynaecology Research·Michael C East
May 28, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Li-Yun ChouWen-Chun Chang
Jan 25, 2006·Journal of Minimally Invasive Gynecology·Souzan KafyTogas Tulandi
Nov 9, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·R D Clayton
Jul 23, 2005·Journal of Minimally Invasive Gynecology·Franck LeonardCharles Chapron
Apr 18, 2002·The Journal of the American Association of Gynecologic Laparoscopists·A WattiezM A Bruhat
Jun 27, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jorge Jiménez CruzIngo B Runnebaum
Apr 29, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Amphan ChalermchockcharoenkitHarshita Ramamurthy
Feb 12, 2013·American Journal of Obstetrics and Gynecology·Marie Fidela R ParaisoJon I Einarsson
Mar 17, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·K AforsA Wattiez

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.