Laparoscopic vs vaginal hysterectomy for benign pathology

American Journal of Obstetrics and Gynecology
Massimo CandianiAnnamaria Marconi

Abstract

The objective of the study was to compare length of stay, blood loss, operative time, and pain of laparoscopic and vaginal hysterectomy. This was a prospective, randomized, controlled comparison between vaginal (VH) and laparoscopic (LH) hysterectomy among 60 consecutive patients with a uterine volume of 300 mL or less and without uterine prolapse. Patients were followed up for 12 months. The groups were significantly different for mean operative time (VH: 81 +/- 30 minutes; LH: 99 +/- 25 minutes; P = .033) and blood loss (LH: 83 +/- 57 mL; VH: 178 +/- 149 mL; P = .004). Bilateral adnexectomy was performed when preoperatively planned in 73% of cases of the vaginal arm, whereas it was always performed in the laparoscopic arm (P = .045). Postoperative pain on day 0 and the number of days of analgesic request were higher in the vaginal group (P = .023 and P = .017, respectively). LH was associated with a reduced hospital stay (LH: 2.7 +/- 0.5 days; VH: 3.2 +/- 0.6 days; P < .001).There were no differences between the groups at the follow-up. Laparoscopic hysterectomy results in a shorter hospital stay, less blood loss, and less postoperative pain compared with vaginal hysterectomy.

References

May 15, 1978·American Journal of Obstetrics and Gynecology·L E SmaleT L Ewing
Aug 1, 1983·Maturitas·P A van KeepP Lehert
Nov 1, 1995·American Journal of Obstetrics and Gynecology·J H DorseyP M Holtz
Jan 1, 1995·Obstetrics and Gynecology·S R Kovac
Apr 1, 1994·Obstetrics and Gynecology·L S WilcoxH B Peterson
Jan 1, 1996·Obstetrics and Gynecology·L A Ballard, M D Walters
Sep 1, 1996·British Journal of Obstetrics and Gynaecology·A DaviesA L Magos
Sep 1, 1996·British Journal of Obstetrics and Gynaecology·N Kadar
Dec 17, 1998·Journal of Urban Health : Bulletin of the New York Academy of Medicine·E S SillsH F Gretz
Sep 3, 1999·Obstetrics and Gynecology·O FigueiredoM A Pelosi
Jan 29, 2000·The Journal of the American Association of Gynecologic Laparoscopists·C Wood
Apr 12, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·S A Bridgman, K M Dunn
May 16, 2000·Obstetrics and Gynecology·S A Farrell, K Kieser
Dec 16, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·C OttosenL Ottosen
Sep 28, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M CossonG Crépin
Jul 9, 2002·The Journal of the American Association of Gynecologic Laparoscopists·A WattiezM A Bruhat
Aug 21, 2002·Gynecologic and Obstetric Investigation·Cheng Yu LongShih Cheng Hsu
May 14, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Aubert AgostiniBernard Blanc
Jul 12, 2003·Archives of Gynecology and Obstetrics·Pierluigi PaparellaRaffaele Paparella
Dec 10, 2003·Obstetrics and Gynecology·Katherine A O'HanlanMirjam Leuchtenberger
Mar 30, 2004·Gynecologic Oncology·Katherine A O'HanlanAnne-Caroline Garnier
Apr 22, 2004·Gynecologic Oncology·Barry RosenUNKNOWN Cancer Care Ontario's Practice Guidelines Initiative Gynecology Cancer Disease Site Group
Nov 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Roy MashiachArnaud Wattiez
Jun 25, 2005·BMJ : British Medical Journal·Neil JohnsonRay Garry
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Shirish S Sheth
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Filip Claerhout, Jan Deprest

❮ Previous
Next ❯

Citations

Oct 12, 2012·Archives of Gynecology and Obstetrics·Juliane U ThebenDietmar Große-Drieling
Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Reza AskariAli Ghomi
Jan 21, 2012·Journal of Environmental and Public Health·Stephen J Genuis
Oct 3, 2015·Journal of Minimally Invasive Gynecology·Jennifer StrubleMohamed A Bedaiwy
Jan 15, 2013·Journal of Minimally Invasive Gynecology·Andries R H TwijnstraFrank W Jansen
Jan 13, 2016·Women's Health·Eva van der Meij, Mark Hans Emanuel
Dec 3, 2011·Obstetrics and Gynecology Clinics of North America·Sarah L Cohen, Jon I Einarsson
May 31, 2011·Journal of Minimally Invasive Gynecology·Lydia Garcia, Keith Isaacson
Mar 1, 2014·Acta Obstetricia Et Gynecologica Scandinavica·Gustavo A CalleLuis A Almanza
Feb 7, 2015·Journal of Minimally Invasive Gynecology·Sara R C DriessenFrank Willem Jansen
May 16, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Thoralf SchollmeyerMarion T Weigel
Jun 5, 2010·American Journal of Obstetrics and Gynecology·Fabio GhezziPierfrancesco Bolis
Mar 8, 2011·American Journal of Obstetrics and Gynecology·Rasha GendyEmmanuel Karantanis
May 31, 2011·American Journal of Obstetrics and Gynecology·Stefano UccellaPierfrancesco Bolis
Jan 1, 2015·Archives of Gynecology and Obstetrics·Satu M PokkinenKari Nieminen
Nov 22, 2016·Journal of Minimally Invasive Gynecology·Evelien M SandbergFrank Willem Jansen
Mar 11, 2017·Journal of Minimally Invasive Gynecology·Heinrich HussleinAbheha Satkunaratnam
Mar 7, 2017·Clinical Obstetrics and Gynecology·Mark D Walters, Beri M Ridgeway
Feb 27, 2016·Gynecological Surgery·L van den HaakF W Jansen
Apr 16, 2015·Journal of Gynecologic Oncology·Janice S Kwon
Feb 23, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Doortje RademakerSarah L Cohen
Aug 13, 2015·The Cochrane Database of Systematic Reviews·Johanna W M AartsKirsten B Kluivers
Oct 26, 2016·Menopause : the Journal of the North American Menopause Society·Jerry Cheng-Yen LaiYiing-Jenq Chou
May 26, 2018·Scandinavian Journal of Pain·John JarrellKirk Stephenson
Nov 22, 2012·Obstetrics and Gynecology·Mark A Zakaria, Barbara S Levy
Jun 15, 2010·Current Opinion in Obstetrics & Gynecology·Massimo Candiani, Stefano Izzo
May 1, 2021·International Journal of Environmental Research and Public Health·Laura Martínez-CayuelasLuis Gómez-Pérez
Jul 9, 2010·Current Opinion in Obstetrics & Gynecology

❮ 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.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
S C RibeiroJ A Pinotti
© 2021 Meta ULC. All rights reserved