Recovery from vaginal hysterectomy compared with laparoscopy-assisted vaginal hysterectomy

Soriano, David; Goldstein, Andrei; Lécuru, Fabrice; Daraı̈, Émile

doi:10.1080/j.1600-0412.2001.080004337.x

Cited by 23 publications

(26 citation statements)

References 14 publications

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“…21 But studies done later proved that even larger uterus can be removed vaginally with least complications rate. 22 Consultant et al showed that uterus up to 600 g can be removed vaginally. 10 Mean duration (range) of surgery was significantly longer for laparoscopic assisted vaginal hysterectomy compared with vaginal hysterectomy and total abdominal hysterectomy, 102 min (50-175), 81 min (35-135) and 68 min (28-125) respectively.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of complications of abdominal and vaginal hysterectomy

Shanthini

Poomalar

Jayasree

et al. 2012

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONHysterectomy is one of the most common surgical procedures performed by the gynaecologist. It can be performed by abdominal and vaginal route. Vaginal hysterectomy (VH) has several advantages over abdominal hysterectomy (TAH), and may be appropriate for up to 80% of benign uterine conditions. 1,2 Evidence supports TAH only when documented pathologic conditions preclude the vaginal route. 3,4 Even recent study in United States shows 82% were TAH, only 13% were VH and 5% were laparoscopic assisted in teaching hospitals.5 Aim of our study is to compare between vaginal route versus abdominal route of hysterectomy in terms of intra operative and post operative complications. METHODSA retrospective study was done in department of Obstetrics and Gynaecology of Sri Manakula Vinayagar Medical College and Hospital in Puducherry, India from January 2010 to July 2012. Study was done in women who had undergone vaginal or abdominal hysterectomy in that period. Women in any age group who underwent vaginal or abdominal hysterectomy for benign conditions were included in the study. Women who underwent hysterectomy for uterine prolapse, indications that would generally require an abdominal approach such as endometriosis, pelvic inflammatory disease were excluded from the study. Vaginal hysterectomy was done in those with uterine size ≤ 14 weeks, unrestricted uterine mobility, and absence of adnexal pathology.Information such as clinical history, physical examination findings, haemoglobin level preoperatively, indication for ABSTRACT Background: Hysterectomy is one of the most common surgical procedures performed by the gynaecologist. It can be performed by vaginal and abdominal route. Gynaecologic surgeons worldwide continue to use the abdominal approach for a large majority of hysterectomies that could be performed vaginally despite well-documented evidence that vaginal hysterectomy has better outcome. Aim of our study is to compare vaginal route versus abdominal route of hysterectomy in terms of intra operative and post operative complications. Methods: A retrospective study was done in 229 women who had undergone hysterectomy (176 abdominal hysterectomies and 53 vaginal hysterectomies) from January 2010 to July 2012. Information on the indications, operative procedures, and complications were extracted and analysed. Results: The mean duration of surgery in VH group was 79.6 min and that of TAH group was 99.2 min. The mean blood loss was also more in case of TAH group than that of VH group (215ml vs. 167ml). Bladder injury occurred in 1 case in VH (1.9%) and in 4 cases in TAH (2.3%). Ureter injury occurred in 1(0.6%) case in TAH group. Wound infection developed in 10 cases of TAH group whereas only one case in VH group developed vault infection. Conclusions:Vaginal hysterectomy is associated with quicker recovery, early mobilization, shorter hospitalization, less operative and post operative morbidity when compared to abdominal hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Evaluation of complications of abdominal and vaginal hysterectomy

Shanthini

Poomalar

Jayasree

et al. 2012

Int J Reprod Contracept Obstet Gynecol

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“…no intraoperative complications or conversion to laparotomy occurred. Conclusions VH was the faster operative technique with smaller blood loss and shorter discharge time compared lower costs with no detectable difference in quality of life measures or complication rates [12,13]. laparoscopically assisted vaginal hysterectomy (lAVH) showed lower postoperative pain and shorter hospital stay in comparison with AH [14,15].…”

Section: Introductionmentioning

confidence: 99%

Randomized comparison of total laparoscopic, laparoscopically assisted vaginal and vaginal hysterectomies for myomatous uteri

Sesti

Cosi

Calonzi

et al. 2014

Arch Gynecol Obstet

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“…10 Mean pain score was lesser in group A (1.86 cm) as compared to group B (2.21 cm) and the difference was statistically significant (p <0.01, t = 2.75) which was consistent with study done by Summitt RL et al 13 Difference in blood transfusion was statistically significant (p = 0.03, χ 2 = 4.80) and it was comparable to study by Soriana D et al which showed more need of transfusion in LH group. 14 The difference between rest of the parameters, when compared, was found statistically insignificant in our study i.e blood loss/Hb decline (p = 0.73, t = 0.33) comparable to study by Oksuzoglu A et al, Uterine volume (p = 0.15, t = 1.43), mean time for ambulation (p = 0.06, t = 0.21) which was in consensus to the study by Jahan S et al Which showed faster ambulation in LH but the difference was insignificant. 15,16 Duration of hospital stay (p = 0.07, t = 1.80) which was comparable to study by Roy KK et al where duration was 2.6 days in NDVH and 2.4 in LH.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of laparoscopic hysterectomy and non-descent vaginal hysterectomy in women with benign gynaecological disease

Gupta

Braroo

Singh

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Hysterectomy is one of the most frequently performed gynaecological operative procedure all over world, second most to caesarean section in United States. The aim of study was to compare the intraoperative and postoperative complications in patients undergoing non-descent vaginal hysterectomy (NDVH) and Laparoscopic hysterectomy (LH) for benign gynaecological disease.Methods: The prospective one-year study was conducted on 156 patients who required hysterectomy for benign gynaecological conditions. After applying inclusion and exclusion criteria, 75 patients assigned to Group A (NDVH) and 75 to Group B (LH) and both groups were compared.Results: On comparing the two groups there was statistically significant decrease in the duration of surgery (p<0.01, t = 11.65), pain score (p<0.01, t = 2.75) and blood transfusion requirement (p = 0.03, χ2 = 4.80) in group A, while blood loss (p = 0.73, t = 0.33), uterine volume (p = 0.15, t = 1.43), time taken to ambulate (p = 0.06 , t = 0.21), duration of hospital stay (p = 0.07, t = 1.80), conversion to laparotomy (p = 0.13, χ2 = 2.56), febrile morbidity (p = 0.27, χ2 = 1.34), infection (p = 0.42, χ2 = 1.11) and visceral injury was found statistically insignificant.Conclusions: Vaginal hysterectomy is an easier technique with shorter duration of surgery and with minimal infrastructure required and for fixed uterus or huge adnexal mass laparoscopic hysterectomy (LH) should be preferred.

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Recovery from vaginal hysterectomy compared with laparoscopy-assisted vaginal hysterectomy

Abstract: In contrast with earlier reports, there was no difference in short-term recovery between patients undergoing vaginal or laparoscopic hysterectomy. No advantage was found performing laparoscopic assisted vaginal hysterectomy in comparison with the standard vaginal hysterectomy.

Cited by 23 publications

References 14 publications

Evaluation of complications of abdominal and vaginal hysterectomy

Evaluation of complications of abdominal and vaginal hysterectomy

Randomized comparison of total laparoscopic, laparoscopically assisted vaginal and vaginal hysterectomies for myomatous uteri

Comparative evaluation of laparoscopic hysterectomy and non-descent vaginal hysterectomy in women with benign gynaecological disease

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