A randomized control trial comparing vaginal and laparoscopically-assisted vaginal hysterectomy in the absence of uterine prolapse in a South African tertiary institution

Chrysostomou, Andreas; Djokovic, Dusan; Libhaber, Elena; Edridge, William; Kawonga, Mary; Herendael, Bruno J. van

doi:10.1016/j.ejogrb.2021.10.018

Cited by 3 publications

(10 citation statements)

References 33 publications

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“…Studies were conducted in Italy, 11,12,23–26 France, 27–29 India, 17,18 Egypt, 30–32 South Africa, 33,34 Brazil, 35 Sweden, 19 Sri Lanka, 20,36 China, 37 and Czech Republic. 13 Two studies 30,34 specified their inclusion for uterine size less than 12 weeks of gestation or less than 280 g, and six studies limited their inclusion for uterine size equal or larger than 12 weeks or more than 280 g. 23–25,27,28,32 Age was reported in all studies except one 35 and ranged between 43–55 and 40.9–54.67 years in the vaginal hysterectomy group and laparoscopic hysterectomy group, respectively. Fourteen studies 17,18,20,23–26,28,29,31,34,37–39 reported uterine weight that ranged between 91.5 and 424 g in the vaginal hysterectomy group and 88.4 and 481 g in the laparoscopic hysterectomy group.…”

Section: Resultsmentioning

confidence: 99%

“…The total eligible population was 2,408, with 1,105 in the vaginal hysterectomy group and 1,303 in the laparoscopic hysterectomy group. Studies were conducted in Italy, 11,12,[23][24][25][26] France, [27][28][29] India, 17,18 Egypt, [30][31][32] South Africa, 33,34 Brazil, 35 Sweden, 19 Sri Lanka, 20,36 China, 37 and Czech Republic. 13 Two studies 30,34 specified their inclusion for uterine size less than 12 weeks of gestation or less than 280 g, and six studies limited their inclusion for uterine size equal or larger than 12 weeks or more than 280 g. [23][24][25]27,28,32 Age was reported in all studies except one 35 and ranged between 43-55 and 40.9-54.67 years in the vaginal hysterectomy group and laparoscopic hysterectomy group, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were conducted in Italy, 11,12,[23][24][25][26] France, [27][28][29] India, 17,18 Egypt, [30][31][32] South Africa, 33,34 Brazil, 35 Sweden, 19 Sri Lanka, 20,36 China, 37 and Czech Republic. 13 Two studies 30,34 specified their inclusion for uterine size less than 12 weeks of gestation or less than 280 g, and six studies limited their inclusion for uterine size equal or larger than 12 weeks or more than 280 g. [23][24][25]27,28,32 Age was reported in all studies except one 35 and ranged between 43-55 and 40.9-54.67 years in the vaginal hysterectomy group and laparoscopic hysterectomy group, respectively. Fourteen studies 17,18,20,[23][24][25][26]28,29,31,34,[37][38][39] reported uterine weight that ranged between 91.5 and 424 g in the vaginal hysterectomy group and 88.4 and 481 g in the laparoscopic hysterectomy group.…”

Section: Resultsmentioning

confidence: 99%

“…All studies except four 27,28,35,37 reported BMI, and only 15 studies reported parity. 13,17,18,20,[23][24][25][27][28][29][30][31][32]34,36 There were insufficient data to categorize subgroups by surgical indication. Tables 1 and 2 include detailed characteristics of the studies and participants included.…”

Section: Resultsmentioning

confidence: 99%

“…In total, 11 of the included RCTs 13,18,19,21,23,25,27,30,32,34,38 compared vaginal hysterectomy and LAVH specifically. In a study by Chrysostomou et al, 34 notable findings included longer operative time and higher costs associated with LAVH, likely attributable to the consumption of disposable equipment.…”

Section: Discussionmentioning

confidence: 99%

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Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions

Azadi,

Masoud,

Ulibarri

et al. 2023

Obstetrics &Amp; Gynecology

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OBJECTIVE: To compare surgical efficacy outcomes and complications after laparoscopic hysterectomy and vaginal hysterectomy performed for benign gynecologic conditions. DATA SOURCES: We performed an online search in major databases, including PubMed, Scopus, Web of Science, ClinicalTrials.gov, and the Cochrane Library from 2000 until February 28, 2023. METHODS OF STUDY SELECTION: We searched for randomized controlled trials (RCTs) that compared vaginal hysterectomy with laparoscopic hysterectomy in benign gynecologic conditions. We located 3,249 articles. After reviewing titles and abstracts, we identified 32 articles that were eligible for full-text screening. We excluded nine articles as not-RCT or not comparing vaginal hysterectomy with laparoscopic hysterectomy. Twenty-three articles were included in the final systematic review, with 22 articles included in the meta-analysis. TABULATION, INTEGRATION, AND RESULTS: Twenty-three eligible RCTs included a total population of 2,408, with 1,105 in the vaginal hysterectomy group and 1,303 in the laparoscopic hysterectomy group. Blood loss and postoperative urinary tract infection rates were lower in the vaginal hysterectomy group than in the laparoscopic hysterectomy group (mean difference −68, 95% CI −104.29 to −31.7, P<.01, I 2=95% and odds ratio 1.73, 95% CI 0.92–3.26, P=.03, I 2=0%, respectively). Vaginal hysterectomy was associated with less total operative time, less recovery time, and greater postoperative pain on the day of surgery. Other complications, including conversion to laparotomy, visceral organ damage, or wound dehiscence, were uncommon. Because of insufficient data, we were not able to stratify by surgical indication. CONCLUSION: Vaginal hysterectomy had a shorter total operative time and recovery time but greater postoperative pain on day of surgery compared with laparoscopic hysterectomy. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42023338538.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions

Azadi,

Masoud,

Ulibarri

et al. 2023

Obstetrics &Amp; Gynecology

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Surgical approach to hysterectomy for benign gynaecological disease

Pickett,

Seeratan,

Mol

et al. 2023

Cochrane Database of Systematic Reviews

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BackgroundThe four approaches to hysterectomy for benign disease are abdominal hysterectomy (AH), vaginal hysterectomy (VH), laparoscopic hysterectomy (LH) and robotic-assisted hysterectomy (RH). ObjectivesTo assess the effectiveness and safety of different surgical approaches to hysterectomy for women with benign gynaecological conditions. Search methodsWe searched the following databases (from inception to 14 August 2014) using the Ovid platform: Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE; Cumulative Index to Nursing and Allied Health Literature (CINAHL) and PsycINFO. We also searched relevant citation lists. We used both indexed and free-text terms. Selection criteriaWe included randomised controlled trials (RCTs) in which clinical outcomes were compared between one surgical approach to hysterectomy and another. Data collection and analysisAt least two review authors independently selected trials, assessed risk of bias and performed data extraction. Our primary outcomes were return to normal activities, satisfaction, quality of life, intraoperative visceral injury and major long-term complications (i.e. fistula, pelvi-abdominal pain, urinary dysfunction, bowel dysfunction, pelvic floor condition and sexual dysfunction).

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The impact of obesity on vaginal hysterectomy and laparoscopically-assisted vaginal hysterectomy outcomes: A randomised control trial

Locher¹,

Chrysostomou²,

Djokovic³

et al. 2023

European Journal of Obstetrics & Gynecology and Reproductiv

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A randomized control trial comparing vaginal and laparoscopically-assisted vaginal hysterectomy in the absence of uterine prolapse in a South African tertiary institution

Cited by 3 publications

References 33 publications

Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions

Vaginal Hysterectomy Compared With Laparoscopic Hysterectomy in Benign Gynecologic Conditions

Surgical approach to hysterectomy for benign gynaecological disease

The impact of obesity on vaginal hysterectomy and laparoscopically-assisted vaginal hysterectomy outcomes: A randomised control trial

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