Objectives: To compare the surgical and immediate post-operative outcomes for varginal hysterectomy (VH) with those for laparoscopically assisted vaginal hysterectomy (LAVH) in patients with enlarged myomatous uterus. Methods: Eight women requiring hysterectomy for an enlarged myomatous uterus were randomly allocated into 2 treatment arms: VH (n=40) and LAVH (n=40). The randomization procedure was based on a computer-generated list. The primary outcome was a comparison of the discharge times between the 2 procedures. Continuous outcome variables were analyzed using the Student t test. Discrete variables were analyzed with the chi-square test of Fisher's exact test. P<0.05 was considered statistically significant. Results: The mean discharge time was longer for LAVH than for VH (72+/-4.2 vs 48 +/- 2.6 h; P=0.00). VH resulted in shorter times for paralytic ileus (19+/-3 vs 26+/-3 h; P=0.00) and surgery (71+/-3 vs 129 +/- 7 min; P=0.00). The intraoperative blood loss was less with VH (186.0+/-52 vs 362.7+/-65 mL; P=0.00). No intraoperative complications occured, and no patient was returned to the operative theater in either group. Conclusions: Several surgical and immediate postoperative outcomes were significantly better in the VH group than in the LAVH group. However, further controlled prospective studies are required for identifying the best approach for hysterectomy in patients with enlarged uterus.

Sesti F., R.V. (2008). Laparoscopically assisted vaginal hysterectomy versus vaginal hysterectomy for enlarged uterus. JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 12(3), 246-251.

Laparoscopically assisted vaginal hysterectomy versus vaginal hysterectomy for enlarged uterus

SESTI, FRANCESCO;PIETROPOLLI, ADALGISA;PICCIONE, EMILIO
2008

Abstract

Objectives: To compare the surgical and immediate post-operative outcomes for varginal hysterectomy (VH) with those for laparoscopically assisted vaginal hysterectomy (LAVH) in patients with enlarged myomatous uterus. Methods: Eight women requiring hysterectomy for an enlarged myomatous uterus were randomly allocated into 2 treatment arms: VH (n=40) and LAVH (n=40). The randomization procedure was based on a computer-generated list. The primary outcome was a comparison of the discharge times between the 2 procedures. Continuous outcome variables were analyzed using the Student t test. Discrete variables were analyzed with the chi-square test of Fisher's exact test. P<0.05 was considered statistically significant. Results: The mean discharge time was longer for LAVH than for VH (72+/-4.2 vs 48 +/- 2.6 h; P=0.00). VH resulted in shorter times for paralytic ileus (19+/-3 vs 26+/-3 h; P=0.00) and surgery (71+/-3 vs 129 +/- 7 min; P=0.00). The intraoperative blood loss was less with VH (186.0+/-52 vs 362.7+/-65 mL; P=0.00). No intraoperative complications occured, and no patient was returned to the operative theater in either group. Conclusions: Several surgical and immediate postoperative outcomes were significantly better in the VH group than in the LAVH group. However, further controlled prospective studies are required for identifying the best approach for hysterectomy in patients with enlarged uterus.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/40 - Ginecologia e Ostetricia
English
Con Impact Factor ISI
adult; analysis of variance; article; chi square distribution; clinical trial; comparative study; controlled clinical trial; controlled study; female; human; laparoscopy; leiomyoma; methodology; middle aged; postoperative complication; randomized controlled trial; statistical model; treatment outcome; uterus cancer; vaginal hysterectomy; Adult; Analysis of Variance; Chi-Square Distribution; Female; Humans; Hysterectomy, Vaginal; Laparoscopy; Leiomyoma; Linear Models; Middle Aged; Postoperative Complications; Treatment Outcome; Uterine Neoplasms
PMCID: PMC3015867
Sesti F., R.V. (2008). Laparoscopically assisted vaginal hysterectomy versus vaginal hysterectomy for enlarged uterus. JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 12(3), 246-251.
Sesti, F; Ruggeri, V; Pietropolli, A; Piccione, E
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/38772
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