PMID: 8961674Oct 1, 1996Paper

Comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy in taiwan

Journal of the Formosan Medical Association = Taiwan Yi Zhi
F T KungS Y Chang

Abstract

In order to clarify the feasibility of laparoscopically assisted vaginal hysterectomy (LAVH) using a not-for-extra charge instrument and to determine its cost-effectiveness in the Taiwan national health care system, we designed a prospective comparison which recruited candidates with nonmalignant uterine tumors prepared for hysterectomy to assess treatment by the laparoscopic versus the laparotomic approach. There were 144 patients in the laparoscopic group and 157 patients in the laparotomic group. The two groups were similar in characteristics. A total of 138 LAVHs were completed with six conversions (4.2%) to abdominal hysterectomy. Intraoperatively, the mean operating time in the LAVH group was longer than in the laparotomic group (134 vs 112 minutes, p < 0.001). No statistically significant differences were found between the two groups in mean estimated blood loss (260 vs 259 mL) and complications (5.8 vs 4.5%). Postoperatively, mean flatulence-relief time (27.4 vs 31.3 hours) and intramuscular meperidine requirements (1.6 vs 2.5 ampoules, 1 ampoule = 50 mg) were significantly less with LAVH. There were no differences in mean hemoglobin levels (10.7 vs 10.9 g/dL), complications (9.4 vs 13.4%, p = 0.288), or hospital stay (...Continue Reading

Citations

Mar 30, 2004·Gynecologic Oncology·Katherine A O'HanlanAnne-Caroline Garnier
Sep 24, 2004·Gynecologic Oncology·Katherine A O'HanlanAnne-Caroline Garnier
Feb 28, 2002·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·K M Fram
Jan 16, 1998·The Australian & New Zealand Journal of Obstetrics & Gynaecology·C WoodD Hill
Oct 12, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·M Sami Walid, Richard L Heaton

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