Objective: To compare the operative data and early postoperative outcome of vaginal. hysterectomy (VH), laparoscopic-assisted vaginal hysterectomy (LAVH), and minilaparotomy hysterectomy (MiniLPT). Methods: A total of 150 women who required hysterectomy for enlarged myomatous uteri were randomly allocated into 3 treatment groups: VH (n=50), LAVH (n=50), and MiniLPT (n=50). The primary outcome was hospital discharge time. The secondary outcomes were operative time, blood toss, paralytic ileus, postoperative pain, and intraoperative and early postoperative complications. Results: Mean hospital discharge time was longest with MiniLPT, and shortest with VH (P < 0.01). VH was the fastest operating technique, was associated with less blood loss, and resulted in shortest duration of paralytic ileus (P < 0.01). No intraoperative complications occurred. Conclusion: VH should be the preferred surgical approach in patients with enlarged myomatous uteri. When VH is not feasible, LAVH should be considered an alternative to MiniLPT. Further controlled prospective studies are required to confirm these results. (c) 2008 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Sesti, F., Calonzi, F., Ruggeri, V., Pietropolli, A., Piccione, E. (2008). A comparison of vaginal, laparoscopic-assisted vaginal, and minilaparotomy hysterectomies for enlarged myomatous uteri. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 103(3), 227-231 [10.1016/j.ijgo.2008.07.006].

A comparison of vaginal, laparoscopic-assisted vaginal, and minilaparotomy hysterectomies for enlarged myomatous uteri

SESTI, FRANCESCO;PIETROPOLLI, ADALGISA;PICCIONE, EMILIO
2008-01-01

Abstract

Objective: To compare the operative data and early postoperative outcome of vaginal. hysterectomy (VH), laparoscopic-assisted vaginal hysterectomy (LAVH), and minilaparotomy hysterectomy (MiniLPT). Methods: A total of 150 women who required hysterectomy for enlarged myomatous uteri were randomly allocated into 3 treatment groups: VH (n=50), LAVH (n=50), and MiniLPT (n=50). The primary outcome was hospital discharge time. The secondary outcomes were operative time, blood toss, paralytic ileus, postoperative pain, and intraoperative and early postoperative complications. Results: Mean hospital discharge time was longest with MiniLPT, and shortest with VH (P < 0.01). VH was the fastest operating technique, was associated with less blood loss, and resulted in shortest duration of paralytic ileus (P < 0.01). No intraoperative complications occurred. Conclusion: VH should be the preferred surgical approach in patients with enlarged myomatous uteri. When VH is not feasible, LAVH should be considered an alternative to MiniLPT. Further controlled prospective studies are required to confirm these results. (c) 2008 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
2008
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/40 - GINECOLOGIA E OSTETRICIA
English
Con Impact Factor ISI
Enlarged uterus; Laparoscopic-assisted vaginal hysterectomy; Minilaparotomy hysterectomy; Uterine myomas; Vaginal hysterectomy
Sesti, F., Calonzi, F., Ruggeri, V., Pietropolli, A., Piccione, E. (2008). A comparison of vaginal, laparoscopic-assisted vaginal, and minilaparotomy hysterectomies for enlarged myomatous uteri. INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 103(3), 227-231 [10.1016/j.ijgo.2008.07.006].
Sesti, F; Calonzi, F; Ruggeri, V; Pietropolli, A; Piccione, E
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/38774
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