Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy
Background:Hysterectomy is the second most common major surgery procedure done after cesarean section by gynecologists in many countries and the most common procedure is total abdominal hysterectomy (TAH).The incidence of laparoscopically assisted vaginal hysterectomy (LAVH) performed for benign l...
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| Format: | Article |
| Language: | English |
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Iran University of Medical Sciences
2008-05-01
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| Series: | Medical Journal of The Islamic Republic of Iran |
| Subjects: | |
| Online Access: | http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-57&slc_lang=en&sid=1 |
| _version_ | 1830440384343310336 |
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| author | Somayeh Sabet Afsaneh Tehranian Bita Eslami Haydeh Samiee Foroogh Bahreini Zahra Asgari |
| author_facet | Somayeh Sabet Afsaneh Tehranian Bita Eslami Haydeh Samiee Foroogh Bahreini Zahra Asgari |
| author_sort | Somayeh Sabet |
| collection | DOAJ |
| description | Background:Hysterectomy is the second most common major surgery procedure done after cesarean section by gynecologists in many countries and the most common procedure is total abdominal hysterectomy (TAH).The incidence of laparoscopically assisted vaginal hysterectomy (LAVH) performed for benign lesions has progressively increased in recent years. Our objective was to compare the relative advantages and disadvantages of LAVH and TAH procedures.Methods: A clinical trial was performed on patients who were candidates for hysterectomy with benign reasons in Arash hospital from March 2006 to April 2007. By simple randomization, 90 patients (30 for LAVH and 60 for TAH) were selected. Demographic details and intra-operative and post-operative complications were recorded by the staff and were compared between the two groups. Results: On average, LAVH operations took significantly longer than TAH operations (100.17 ± 39.35 minutes; 145.83 ± 41.55 minutes; P< 0.0001). The total length of hospital stay was significantly shorter after LAVH than after TAH (3.43 ± 0.90 days; 3.94 ± 1.02; P= 0.025). Although the hemoglobin (gr/dl) drop in LAVH was significantly higher than TAH (1.22 ± 0.94 and 0.58 ± 0.82, P=0.0012), blood transfusions were more common in TAH (1 case versus 3 cases).The drug requirement to control pain during hospitalization after the two surgeries was not significantly different between the two groups.Fever was observed more often in the TAH group (P = 0.051).Finally,Intra-operative and post-operative complications were lower in LAVH than TAH.Conclusion: Although operation length is significantly higher in LAVH, this procedure is safer and more comfortable for patients and health care providers. |
| first_indexed | 2024-12-21T05:02:26Z |
| format | Article |
| id | doaj.art-e7d91ca00170477a9a99cbf2ac504cad |
| institution | Directory Open Access Journal |
| issn | 1016-1430 2251-6840 |
| language | English |
| last_indexed | 2024-12-21T05:02:26Z |
| publishDate | 2008-05-01 |
| publisher | Iran University of Medical Sciences |
| record_format | Article |
| series | Medical Journal of The Islamic Republic of Iran |
| spelling | doaj.art-e7d91ca00170477a9a99cbf2ac504cad2022-12-21T19:15:13ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402008-05-012212228Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal HysterectomySomayeh SabetAfsaneh TehranianBita EslamiHaydeh SamieeForoogh BahreiniZahra AsgariBackground:Hysterectomy is the second most common major surgery procedure done after cesarean section by gynecologists in many countries and the most common procedure is total abdominal hysterectomy (TAH).The incidence of laparoscopically assisted vaginal hysterectomy (LAVH) performed for benign lesions has progressively increased in recent years. Our objective was to compare the relative advantages and disadvantages of LAVH and TAH procedures.Methods: A clinical trial was performed on patients who were candidates for hysterectomy with benign reasons in Arash hospital from March 2006 to April 2007. By simple randomization, 90 patients (30 for LAVH and 60 for TAH) were selected. Demographic details and intra-operative and post-operative complications were recorded by the staff and were compared between the two groups. Results: On average, LAVH operations took significantly longer than TAH operations (100.17 ± 39.35 minutes; 145.83 ± 41.55 minutes; P< 0.0001). The total length of hospital stay was significantly shorter after LAVH than after TAH (3.43 ± 0.90 days; 3.94 ± 1.02; P= 0.025). Although the hemoglobin (gr/dl) drop in LAVH was significantly higher than TAH (1.22 ± 0.94 and 0.58 ± 0.82, P=0.0012), blood transfusions were more common in TAH (1 case versus 3 cases).The drug requirement to control pain during hospitalization after the two surgeries was not significantly different between the two groups.Fever was observed more often in the TAH group (P = 0.051).Finally,Intra-operative and post-operative complications were lower in LAVH than TAH.Conclusion: Although operation length is significantly higher in LAVH, this procedure is safer and more comfortable for patients and health care providers.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-57&slc_lang=en&sid=1bBlood TransfusionHemoglobinIntraoperative ComplicationsLaparoscopic Assisted Vaginal HysterectomyPostoperativeLAVHTotal Abdominal HysterectomyTAH |
| spellingShingle | Somayeh Sabet Afsaneh Tehranian Bita Eslami Haydeh Samiee Foroogh Bahreini Zahra Asgari Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy Medical Journal of The Islamic Republic of Iran bBlood Transfusion Hemoglobin Intraoperative Complications Laparoscopic Assisted Vaginal Hysterectomy Postoperative LAVH Total Abdominal Hysterectomy TAH |
| title | Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy |
| title_full | Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy |
| title_fullStr | Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy |
| title_full_unstemmed | Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy |
| title_short | Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy |
| title_sort | comparison of laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy |
| topic | bBlood Transfusion Hemoglobin Intraoperative Complications Laparoscopic Assisted Vaginal Hysterectomy Postoperative LAVH Total Abdominal Hysterectomy TAH |
| url | http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-57&slc_lang=en&sid=1 |
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