Tags

Type your tag names separated by a space and hit enter

A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus.
Arch Gynecol Obstet. 2011 Oct; 284(4):907-12.AG

Abstract

AIMS AND OBJECTIVES

To compare the three techniques of hysterectomy-total laparoscopic hysterectomy (TLH), laparoscopic assisted vaginal hysterectomy (LAVH) and non-descent vaginal hysterectomy (NDVH).

MATERIALS AND METHODS

Ninety women with benign disease of uterus with failed medical management or not amenable to medical management were randomised into three groups for either technique of hysterectomy, thirty in each group, by the same surgeon. For each patient, intra-operative parameters including total duration of surgery, blood loss, surgical difficulty and intra-operative complications were recorded. Total hospital stay, adverse events, satisfaction rate and recuperation time was analysed and compared. Statistical analysis was done using SPSS15 software.

RESULTS

Non-descent vaginal hysterectomy (NDVH) took least operative time and significantly lesser blood loss (p = 0.02) compared to TLH and LAVH. There was no significant difference between adverse events, recuperation time and postoperative pain between the three techniques.

CONCLUSIONS

Non-descent vaginal hysterectomy may be a preferred technique over laparoscopic hysterectomy for benign diseases of uterus where extensive pelvic dissection is not required.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Roy KK
Department of Gynecology and Obstetrics, All India Institute of Medical Sciences, Room No. 3085, New Delhi 110029, India. drkkroy2003@gmail.com
Goyal M
No affiliation info available
Singla S
No affiliation info available
Sharma JB
No affiliation info available
Malhotra N
No affiliation info available
Kumar S
No affiliation info available

MeSH

AdultBlood Loss, SurgicalFemaleHumansHysterectomy, VaginalLaparoscopyMiddle AgedPostoperative ComplicationsProspective StudiesTreatment OutcomeUterine Diseases

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

21140160

Citation

Roy, Kallol Kumar, et al. "A Prospective Randomised Study of Total Laparoscopic Hysterectomy, Laparoscopically Assisted Vaginal Hysterectomy and Non-descent Vaginal Hysterectomy for the Treatment of Benign Diseases of the Uterus." Archives of Gynecology and Obstetrics, vol. 284, no. 4, 2011, pp. 907-12.
Roy KK, Goyal M, Singla S, et al. A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus. Arch Gynecol Obstet. 2011;284(4):907-12.
Roy, K. K., Goyal, M., Singla, S., Sharma, J. B., Malhotra, N., & Kumar, S. (2011). A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus. Archives of Gynecology and Obstetrics, 284(4), 907-12. https://doi.org/10.1007/s00404-010-1778-5
Roy KK, et al. A Prospective Randomised Study of Total Laparoscopic Hysterectomy, Laparoscopically Assisted Vaginal Hysterectomy and Non-descent Vaginal Hysterectomy for the Treatment of Benign Diseases of the Uterus. Arch Gynecol Obstet. 2011;284(4):907-12. PubMed PMID: 21140160.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus. AU - Roy,Kallol Kumar, AU - Goyal,Manu, AU - Singla,Shilpa, AU - Sharma,Jai Bhagwan, AU - Malhotra,Neena, AU - Kumar,Sunesh, Y1 - 2010/12/08/ PY - 2010/09/15/received PY - 2010/11/11/accepted PY - 2010/12/9/entrez PY - 2010/12/9/pubmed PY - 2012/1/13/medline SP - 907 EP - 12 JF - Archives of gynecology and obstetrics JO - Arch Gynecol Obstet VL - 284 IS - 4 N2 - AIMS AND OBJECTIVES: To compare the three techniques of hysterectomy-total laparoscopic hysterectomy (TLH), laparoscopic assisted vaginal hysterectomy (LAVH) and non-descent vaginal hysterectomy (NDVH). MATERIALS AND METHODS: Ninety women with benign disease of uterus with failed medical management or not amenable to medical management were randomised into three groups for either technique of hysterectomy, thirty in each group, by the same surgeon. For each patient, intra-operative parameters including total duration of surgery, blood loss, surgical difficulty and intra-operative complications were recorded. Total hospital stay, adverse events, satisfaction rate and recuperation time was analysed and compared. Statistical analysis was done using SPSS15 software. RESULTS: Non-descent vaginal hysterectomy (NDVH) took least operative time and significantly lesser blood loss (p = 0.02) compared to TLH and LAVH. There was no significant difference between adverse events, recuperation time and postoperative pain between the three techniques. CONCLUSIONS: Non-descent vaginal hysterectomy may be a preferred technique over laparoscopic hysterectomy for benign diseases of uterus where extensive pelvic dissection is not required. SN - 1432-0711 UR - https://www.unboundmedicine.com/medline/citation/21140160/A_prospective_randomised_study_of_total_laparoscopic_hysterectomy_laparoscopically_assisted_vaginal_hysterectomy_and_non_descent_vaginal_hysterectomy_for_the_treatment_of_benign_diseases_of_the_uterus_ L2 - https://dx.doi.org/10.1007/s00404-010-1778-5 DB - PRIME DP - Unbound Medicine ER -