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A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes.
J Minim Invasive Gynecol. 2005 Mar-Apr; 12(2):121-4.JM

Abstract

STUDY OBJECTIVE

To compare operative and postoperative results of laparoscopic supracervical hysterectomy (LSH) and total abdominal hysterectomy (TAH).

DESIGN

Cohort retrospective analysis of consecutive patients (Canadian Task Force classification II-3).

SETTING

Department of gynecology at a metropolitan medical center.

PATIENTS

Two hundred-twenty women who underwent LSH with or without bilateral salpingo-oophorectomy (BSO). Two hundred-twenty women who underwent TAH with or without BSO. Both groups had similar surgical indications and final pathology.

MEASUREMENTS AND MAIN RESULTS

Women who underwent LSH had a shorter operating time than those in the TAH group (47.7 +/- 14.6 min vs 74.9 +/- 25.6 min). Hospital stay was significantly shorter in the LSH group, and those patients returned to work sooner. The operative complication rate was higher in the TAH group (2.7% vs 0.9%). Postoperative complication rate for the TAH group was higher than the LSH group (25% vs zero).

CONCLUSION

Laparoscopic supracervical hysterectomy is a safe and effective surgical treatment for patients in need of a hysterectomy with or without BSO. The procedure can be performed in an outpatient setting. Patients experience a much quicker recovery than those who undergo TAH, and the complication rate is significantly lower.

Authors+Show Affiliations

Sarmini OR
Department of Obstetrics and Gynecology, Medical Center of Arlington, Arlington, Texas 76014, USA. orsamini@comcast.net
Lefholz K
No affiliation info available
Froeschke HP
No affiliation info available

MeSH

AdultCohort StudiesConfidence IntervalsFemaleFollow-Up StudiesHumansHysterectomyHysterectomy, VaginalIncidenceIntraoperative ComplicationsLaparoscopyLaparotomyLength of StayMiddle AgedPain, PostoperativePostoperative ComplicationsProbabilityRetrospective StudiesRisk AssessmentTreatment OutcomeUterine Diseases

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15904614

Citation

Sarmini, O Robert, et al. "A Comparison of Laparoscopic Supracervical Hysterectomy and Total Abdominal Hysterectomy Outcomes." Journal of Minimally Invasive Gynecology, vol. 12, no. 2, 2005, pp. 121-4.
Sarmini OR, Lefholz K, Froeschke HP. A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes. J Minim Invasive Gynecol. 2005;12(2):121-4.
Sarmini, O. R., Lefholz, K., & Froeschke, H. P. (2005). A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes. Journal of Minimally Invasive Gynecology, 12(2), 121-4.
Sarmini OR, Lefholz K, Froeschke HP. A Comparison of Laparoscopic Supracervical Hysterectomy and Total Abdominal Hysterectomy Outcomes. J Minim Invasive Gynecol. 2005 Mar-Apr;12(2):121-4. PubMed PMID: 15904614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes. AU - Sarmini,O Robert, AU - Lefholz,Kimberly, AU - Froeschke,Harry P, PY - 2003/08/26/received PY - 2004/10/08/accepted PY - 2005/5/21/pubmed PY - 2005/6/29/medline PY - 2005/5/21/entrez SP - 121 EP - 4 JF - Journal of minimally invasive gynecology JO - J Minim Invasive Gynecol VL - 12 IS - 2 N2 - STUDY OBJECTIVE: To compare operative and postoperative results of laparoscopic supracervical hysterectomy (LSH) and total abdominal hysterectomy (TAH). DESIGN: Cohort retrospective analysis of consecutive patients (Canadian Task Force classification II-3). SETTING: Department of gynecology at a metropolitan medical center. PATIENTS: Two hundred-twenty women who underwent LSH with or without bilateral salpingo-oophorectomy (BSO). Two hundred-twenty women who underwent TAH with or without BSO. Both groups had similar surgical indications and final pathology. MEASUREMENTS AND MAIN RESULTS: Women who underwent LSH had a shorter operating time than those in the TAH group (47.7 +/- 14.6 min vs 74.9 +/- 25.6 min). Hospital stay was significantly shorter in the LSH group, and those patients returned to work sooner. The operative complication rate was higher in the TAH group (2.7% vs 0.9%). Postoperative complication rate for the TAH group was higher than the LSH group (25% vs zero). CONCLUSION: Laparoscopic supracervical hysterectomy is a safe and effective surgical treatment for patients in need of a hysterectomy with or without BSO. The procedure can be performed in an outpatient setting. Patients experience a much quicker recovery than those who undergo TAH, and the complication rate is significantly lower. SN - 1553-4650 UR - https://www.unboundmedicine.com/medline/citation/15904614/A_comparison_of_laparoscopic_supracervical_hysterectomy_and_total_abdominal_hysterectomy_outcomes_ DB - PRIME DP - Unbound Medicine ER -