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Total abdominal hysterectomy versus laparoscopically-assisted vaginal hysterectomy versus total vaginal hysterectomy.
Asian J Endosc Surg. 2011 Nov; 4(4):161-5.AJ

Abstract

INTRODUCTION

While total abdominal hysterectomy (TAH) and total vaginal hysterectomy (TVH) are conventional procedures, we have actively introduced laparoscopically-assisted vaginal hysterectomy (LAVH) since its advent. This study was the first attempt to retrospectively compare the surgical results, including invasiveness, among the three methods of performing a hysterectomy.

METHODS

The subjects included 1181 patients who underwent total hysterectomies (TAH, n=465; LAVH, n=629; TVH, n=87) due to uterine fibroids or uterine adenomyosis at our hospital between January 1995 and December 2009. The mean age, parity, weight of the removed uterus, operative time, blood loss, rates of intra- and post-operative complications, length of post-operative hospital stay, leukocyte count, and CRP and hemoglobin levels were compared.

RESULTS

The operative time was significantly longer in the LAVH group than the other two groups. Blood loss was significantly greater in the TAH group than the LAVH and TVA groups. The rates of intra- and post-operative complications were significantly higher in the TAH group than the LAVH group. The CRP level and leukocyte count were significantly lower in the LAVH group than the TAH and TVH groups.

CONCLUSION

LAVH can be applied to nulligravidas or patients with relatively large uteri and it is proved less invasive than TAH and TVH in this study. We recommend active application of LAVH.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Shiota M
Department of Obstetrics and Gynecology, Kinki University Faculty of Medicine, Osaka, Japan. shiota@med.kindai.ac.jp
Kotani Y
No affiliation info available
Umemoto M
No affiliation info available
Tobiume T
No affiliation info available
Shimaoka M
No affiliation info available
Hoshiai H
No affiliation info available

MeSH

AdultAgedEndometriosisFemaleHumansHysterectomyHysterectomy, VaginalIntraoperative ComplicationsLaparoscopyLeiomyomaLength of StayMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeUterine DiseasesUterine Neoplasms

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

22776300

Clinical Trial Links

Vaginal Hysterectomy Versus Laparoscopically Assisted Vaginal Hysterectomy for Large Uteri

Citation

Shiota, M, et al. "Total Abdominal Hysterectomy Versus Laparoscopically-assisted Vaginal Hysterectomy Versus Total Vaginal Hysterectomy." Asian Journal of Endoscopic Surgery, vol. 4, no. 4, 2011, pp. 161-5.
Shiota M, Kotani Y, Umemoto M, et al. Total abdominal hysterectomy versus laparoscopically-assisted vaginal hysterectomy versus total vaginal hysterectomy. Asian J Endosc Surg. 2011;4(4):161-5.
Shiota, M., Kotani, Y., Umemoto, M., Tobiume, T., Shimaoka, M., & Hoshiai, H. (2011). Total abdominal hysterectomy versus laparoscopically-assisted vaginal hysterectomy versus total vaginal hysterectomy. Asian Journal of Endoscopic Surgery, 4(4), 161-5. https://doi.org/10.1111/j.1758-5910.2011.00104.x
Shiota M, et al. Total Abdominal Hysterectomy Versus Laparoscopically-assisted Vaginal Hysterectomy Versus Total Vaginal Hysterectomy. Asian J Endosc Surg. 2011;4(4):161-5. PubMed PMID: 22776300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total abdominal hysterectomy versus laparoscopically-assisted vaginal hysterectomy versus total vaginal hysterectomy. AU - Shiota,M, AU - Kotani,Y, AU - Umemoto,M, AU - Tobiume,T, AU - Shimaoka,M, AU - Hoshiai,H, Y1 - 2011/09/08/ PY - 2012/7/11/entrez PY - 2012/7/11/pubmed PY - 2012/11/13/medline SP - 161 EP - 5 JF - Asian journal of endoscopic surgery JO - Asian J Endosc Surg VL - 4 IS - 4 N2 - INTRODUCTION: While total abdominal hysterectomy (TAH) and total vaginal hysterectomy (TVH) are conventional procedures, we have actively introduced laparoscopically-assisted vaginal hysterectomy (LAVH) since its advent. This study was the first attempt to retrospectively compare the surgical results, including invasiveness, among the three methods of performing a hysterectomy. METHODS: The subjects included 1181 patients who underwent total hysterectomies (TAH, n=465; LAVH, n=629; TVH, n=87) due to uterine fibroids or uterine adenomyosis at our hospital between January 1995 and December 2009. The mean age, parity, weight of the removed uterus, operative time, blood loss, rates of intra- and post-operative complications, length of post-operative hospital stay, leukocyte count, and CRP and hemoglobin levels were compared. RESULTS: The operative time was significantly longer in the LAVH group than the other two groups. Blood loss was significantly greater in the TAH group than the LAVH and TVA groups. The rates of intra- and post-operative complications were significantly higher in the TAH group than the LAVH group. The CRP level and leukocyte count were significantly lower in the LAVH group than the TAH and TVH groups. CONCLUSION: LAVH can be applied to nulligravidas or patients with relatively large uteri and it is proved less invasive than TAH and TVH in this study. We recommend active application of LAVH. SN - 1758-5910 UR - https://www.unboundmedicine.com/medline/citation/22776300/Total_abdominal_hysterectomy_versus_laparoscopically_assisted_vaginal_hysterectomy_versus_total_vaginal_hysterectomy_ L2 - https://doi.org/10.1111/j.1758-5910.2011.00104.x DB - PRIME DP - Unbound Medicine ER -