TY - JOUR
T1 - Laparoscopic vs vaginal hysterectomy for benign pathology
AU - Candiani, Massimo
AU - Izzo, Stefano
AU - Bulfoni, Alessandro
AU - Riparini, Jennifer
AU - Ronzoni, Stefania
AU - Marconi, Annamaria
PY - 2009/4
Y1 - 2009/4
N2 - 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.
AB - 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.
KW - hysterectomy
KW - laparoscopy
KW - prospective
KW - randomized
KW - vaginal
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U2 - 10.1016/j.ajog.2008.09.016
DO - 10.1016/j.ajog.2008.09.016
M3 - Article
C2 - 19136094
AN - SCOPUS:62549145276
VL - 200
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 4
ER -