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A Comparative Study of Total Lapaproscopic Hysterectomy (TLH) and Total Abdominal Hysterectomy (TAH) / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology ; : 1490-1496, 2005.
Article in Korean | WPRIM | ID: wpr-14102
ABSTRACT

OBJECTIVE:

To compare the clinical results between total laparoscopic Hysterectomy (TLH) and total abdominal hysterectomy (TAH).

METHODS:

100 cases of TLH and 95 cases of TAH, which were performed at Pocheon CHA university from January 2001 to September 2004. We analyzed the results with regard to patient's characteristics (age, parity), uterine weight, operative time, blood loss, hospital stay and complications.

RESULTS:

There were no differences in terms of patient's age, parity, main operative indication and total operating time between the 2 groups. The mean uterine weight of TAH group was larger than TLH (291 +/- 239 gm for TLH, 404 +/- 174 gm for TAH, p<.05) group. The estimated blood loss was significantly lower for TLH (239.00 +/- 155.63 mL) than for TAH (333.68 +/- 228.4 mL) (p<.05). The length of hospital day was significantly shorter for TLH (6.78 +/- 1.70 day) than for TAH (7.39 +/- 1.49 day) (p<.05). Post-operative complications in the TLH group were dysuria in 2 cases, major hemorrhage requiring transfusion in 4 cases, trocar site hematoma in 1 case and bowel injury in 1 case. Post-operative complications In the TAH group were major hemorrhage requiring transfusion in 7 cases, wound infection in 3 cases and bowel injury in one case.

CONCLUSION:

The present study demonstrates that, given adequate training in laparoscopic surgery, TLH may replace TAH in most patients who require a hysterectomy, showing clear advantages of shorter hospitalization and the acceptable complication rate.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parity / Surgical Instruments / Wound Infection / Laparoscopy / Dysuria / Operative Time / Hematoma / Hemorrhage / Hospitalization / Hysterectomy Limits: Female / Humans Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2005 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Parity / Surgical Instruments / Wound Infection / Laparoscopy / Dysuria / Operative Time / Hematoma / Hemorrhage / Hospitalization / Hysterectomy Limits: Female / Humans Language: Korean Journal: Korean Journal of Obstetrics and Gynecology Year: 2005 Type: Article