Laparoscopic vs vaginal hysterectomy for benign pathology

Massimo Candiani, Stefano Izzo, Alessandro Bulfoni, Jennifer Riparini, Stefania Ronzoni, Annamaria Marconi

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Objective: The objective of the study was to compare length of stay, blood loss, operative time, and pain of laparoscopic and vaginal hysterectomy. Study Design: 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. Results: 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. Conclusion: Laparoscopic hysterectomy results in a shorter hospital stay, less blood loss, and less postoperative pain compared with vaginal hysterectomy.

Original languageEnglish
JournalAmerican Journal of Obstetrics and Gynecology
Volume200
Issue number4
DOIs
Publication statusPublished - Apr 2009

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Vaginal Hysterectomy
Length of Stay
Operative Time
Pathology
Postoperative Pain
Hysterectomy
Uterine Prolapse
Analgesics
Pain

Keywords

  • hysterectomy
  • laparoscopy
  • prospective
  • randomized
  • vaginal

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Laparoscopic vs vaginal hysterectomy for benign pathology. / Candiani, Massimo; Izzo, Stefano; Bulfoni, Alessandro; Riparini, Jennifer; Ronzoni, Stefania; Marconi, Annamaria.

In: American Journal of Obstetrics and Gynecology, Vol. 200, No. 4, 04.2009.

Research output: Contribution to journalArticle

Candiani, Massimo ; Izzo, Stefano ; Bulfoni, Alessandro ; Riparini, Jennifer ; Ronzoni, Stefania ; Marconi, Annamaria. / Laparoscopic vs vaginal hysterectomy for benign pathology. In: American Journal of Obstetrics and Gynecology. 2009 ; Vol. 200, No. 4.
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