Vaginal or laparoscopic hysterectomy: Do perioperative outcomes differ? A propensity score-matched analysis

Acta Obstetricia Et Gynecologica Scandinavica
Doortje RademakerSarah L Cohen

Abstract

There are assertions that vaginal mode may be the preferred approach of minimally invasive hysterectomy, yet rates of laparoscopic hysterectomy (LH) continue to rise while vaginal hysterectomy (VH) rate remains relatively unchanged. The aim of this study is to compare the perioperative outcomes of LH vs VH. We identified women who underwent either LH or VH for benign indications between 2009 and 2015 at a large academic institution. A propensity score-matched analysis was used to adjust for differences between women undergoing VH vs LH. Outcome parameters were perioperative complications (both intraoperative and postoperative), operative time, blood loss, hospital length of stay, conversion and readmission. A total of 1921 patients underwent either LH or VH during the study period. In all, 155 patients from each group were successfully matched using propensity score match analysis. While most intra- and postoperative characteristics did not differ between groups, LH was associated with lower blood loss during surgery (102.8 ± 166.5 mL vs 185.0 ± 179.0 mL, P < 0.001) and shorter hospital stay (0.9 ± 1 days vs 1.2 ± 0.9 days, P < 0.0001). Concomitant adnexal surgery was performed more frequently during LH (47.7% vs 12.3%, P < 0.0...Continue Reading

References

Feb 12, 1998·Annals of Internal Medicine·D B Rubin
Jan 13, 2009·American Journal of Obstetrics and Gynecology·Massimo CandianiAnnamaria Marconi
Feb 16, 2010·The American Journal of Surgical Pathology·Robert J Kurman, Ie-Ming Shih
Jun 5, 2010·American Journal of Obstetrics and Gynecology·Fabio GhezziPierfrancesco Bolis
Nov 10, 2010·Journal of Minimally Invasive Gynecology·UNKNOWN AAGL Advancing Minimally Invasive Gynecology Worldwide
Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Kelly N WrightJon I Einarsson
Aug 24, 2013·Obstetrics and Gynecology·Jason D WrightDawn L Hershman
Jul 1, 2014·Menopause : the Journal of the North American Menopause Society·Giorgio BoganiFabio Ghezzi
Nov 14, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Sarah L CohenJon I Einarsson
Dec 3, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Giorgio BoganiFabio Ghezzi
Dec 24, 2014·Archives of Gynecology and Obstetrics·Mohamed ElessawyIbrahim Alkatout
Oct 30, 2016·American Journal of Obstetrics and Gynecology·Carolyn W SwensonDaniel M Morgan
Oct 25, 2016·Journal of Minimally Invasive Gynecology·Divya K ShahStacey A Missmer
Nov 22, 2016·Journal of Minimally Invasive Gynecology·Evelien M SandbergFrank Willem Jansen

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