A comparative study between laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy.
Artigo
em Inglês
| IMSEAR
| ID: sea-38474
ABSTRACT
OBJECTIVE:
To compare efficiency of laparoscopically assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH) MATERIAL ANDMETHOD:
Medical records of 50 cases of LA VH and 50 cases of TAH were reviewed from January 2004 to December 2004RESULTS:
There was no significant difference between the two groups in basic clinical characteristics. Myoma uteri was the major cause of operation. The operative time (115.9 +/- 40.8 min vs. 68.2 +/-14.2 min), the operative cost (26,763.48 +/- 2, 718.37 Baht vs. 22,345.50 +/- 4,057.40 Baht), diclofenac for postoperative analgesics (135.0 +/- 67.5 mg vs. 300.0 +/- 75.0 mg), the postoperative hospital stay (2.6 +/- 0.9 days vs. 4.5 +/- 1.1 days), and the time to return to work (30.4 + 3.1 days vs. 50.9 +/- 6.6 days) were significantly different in the LA VH group compared to the TAH group. There was no significant difference in blood loss between the two groups. The mean score of recovery scale for LAVH was 9 and 7 for TAH at the 28th day ofpost-op. There was one bladder injury in the LAVH group. The common complications in both groups were hemorrhage andfebrile morbidity. The learning curve of LA VHprocedure showed that operative time was significantly different between the 30th and 40th cases (122.0 +/- 31.8 min vs. 91.0 +/- 26.5 min). Doing LAVH with condition of uterine weight will not effect the operative time and blood loss.CONCLUSION:
LAVH is less painful, has a shorter length of hospital stay and quicker return to work than TAH. Moreover LAVH does not increase intra- or postoperative complications. LAVH is another alternative choice to treat myoma uteri in a well trained operator
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Complicações Pós-Operatórias
/
Fatores de Tempo
/
Neoplasias Uterinas
/
Feminino
/
Humanos
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Laparoscopia
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Adulto
Tipo de estudo:
Estudo observacional
Idioma:
Inglês
Ano de publicação:
2007
Tipo de documento:
Artigo
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