The Evaluation of the Perioperative and Postoperative Outcomes of the Laparoscopy Assisted Vaginal Hysterectomy, Total Vaginal Hysterectomy and Total Abdominal Hysterectomy

Year 2013, , 23 - 27, 01.01.2013

Selim Afşar Erhan Karaalp Ayşe Yiğit Mustafa Eroğlu Kadir Güzin

https://doi.org/10.5505/abantmedj.2013.41636

Abstract

OBJECTIVE: The aim of this study is to compare perioperative and postoperative outcomes of 3 types of hysterectomies; laparoscopy assisted vaginal hysterectomy LAVH , total vaginal hysterectomy TVH and total abdominal hysterectomy TAH . METHODS: For this prospective clinical study; 104 patients who were scheduled for hysterectomy operation for benign conditions were included. The patients’ age groups, indications, preoperative and postoperative haemoglobin and hematocrit levels, operation time, analgesic demand and hospital stay were recorded. RESULTS: The average age for VTH group 58.2 ±8.5 was older than other groups p

Keywords

Laparoscopy assisted vaginal hysterectomy, total vaginal hysterectomy, total abdominal hysterectomy, morbidity

Laparoskopi Yardımlı Vajinal Histerektomi, Total Vajinal Histerektomi Ve Total Abdominal Histerektominin Perioperatif ve Postoperatif Sonuçlarının Karşılaştırılması

Abstract

AMAÇ: Bu çalışmanın amacı üç histerektomi tipinin; laparoskopi yardımlı vajinal histerektomi LYVH , vajinal total histerektomi VTH ve total abdominal histerektominin TAH perioperatif ve postoperatif morbiditesinin karşılaştırılmasıdır.YÖNTEMLER: Bu prospektif gözlemsel klinik çalışmaya; benign nedenlerle histerektomi planlanan 104 hasta dahil edildi. Hastaların yaşı, endikasyonları, preoperatif ve postoperatif hemoglobin ve hematokrit değerleri, operasyon süreleri, uterus ağırlıkları, analjezik kullanımları ve hastanede kalış süreleri kaydedildi. BULGULAR: VTH grubunun yaş ortalaması 58.2 ±8.5 diğer gruplara oranla büyüktür p

Keywords

Laparoskopi yardımlı vajinal histerektomi, vajinal total histerektomi, total abdominal histerektomi, morbidite

References

• Pokras R. Hysterectomy, past, present and future. Stat Bull Metrop Insur Co 1989; 70 (4) : 12-21.
• Lepine LA, Hillis SD, Marchbanks PA, Koonin LM, Morrow B, Kieke BA et al. Hysterectomy surveillance- United States, 1980-1993. MMWR CDC Surveill Sum 1997; 46 (4) : 1-15.
• Jacobson GF, Shaber RE, Armstrong MA, Hung YY. Hysterectomy rates for benign indications. Obstet Gynecol 2006; 107 (6) : 1278-83.
• Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM et al. Inpatient hysterectomy surveillance in the United States, 2000–2004. Am J Obstet Gynecol 2008; 198 (1) : 34-6.
• Dicker RC, Greenspan JR, Strauss LT, Cowart MR, Scally MJ, Peterson HB et al. Complications of ab- dominal and vaginal hysterectomy among women of reproductive age in the United States. The Collabora- tive Review of Sterilization. Am J Obstet Gynecol 1982; 144 (7) : 841-8.
• Phipps JP, John M, Nayak S. Comparison of laparo- scopic assisted vaginal hysterectomy and bilateral salpingo-ophorectomy with conventional abdominal hysterectomy and bilateral salpingo-ophorectomy. Br J Obstet Gynaecol 1993; 100 (7) : 698-700.
• Reich H, DiCaprio J, McGlynn F. Laparoscopic hyster- ectomy. J Gynecol Surg 1989; 5 (2) : 213-16.
• Fylstra DL. Carter JF. Laparoscopically assisted vaginal hysterectomy in university hospital: Decreasing the need for abdominal hysterectomy and increasing res- ident experience in vaginal surgery. J Reprod Med 1996; 41 (7) : 497-503.
• Summitt RL, Stovall TG, Steege JF, Lipscomb GH. A Multicenter Randomized Comparison of Laparoscopi- cally Assisted Vaginal Hysterectomy and Abdominal Hysterectomy in Abdominal Hysterectomy Candi- dates. Obstet Gynecol 1998; 92 (3) : 321-6.
• Tıras MB. Comparison of Laparoscopically assisted vaginal hysterectomy with abdominal and vaginal hysterectomy. A prospective study. Turkiye Klinikleri J Gynecol Obst 2000;10 (3) : 178-84.
• Marana R, Busacca M, Zupi E, Garcea N, Paparella P, Catalano GF. Laparoscopically assisted vaginal hyster- ectomy versus total abdominal hysterectomy: A pro- spective, randomized, multicenter study. Obstet Gy- necol 1999; 180 (2 Pt 1) : 270-5.
• Nwosu CR, Gupta JK. Abdominal, laparoscopic and vaginal hysterectomy with bilateral salpingo- oophorectomy: a feasibility study for further evalua- tion in randomized trials. Surg Endosc 1999; 13 (2) : 148-50.
• Shao JB, Wong F. Factors influencing the choice of hysterectomy. Aust N Z J Obstet Gynaecol 2001; 41 (3) : 303-6.
• Ribeiro SC, Ribeiro RM, Santos NC, Pinotti JA. A ran- domized study of total abdominal, vaginal and laparo- scopic hysterectomy. Int J Gynaecol Obstet. 2003; 83 (1): 37-43.
• Lowell L, Kessler AA. Laparoscopically assisted vaginal hysterectomy. A suitable substitute for abdominal hysterectomy? J Reprod Med 2000; 45 (9) : 738-42.
• Meikle SF, Nugent EW, Orleans M. Complications and recovery from laparoscopy-assisted vaginal hysterec- tomy compared with abdominal and vaginal hysterec- tomy. Obstet Gynecol. 1997; 89 (2) : 304-11.
• Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2009; 8 (3) : 1-87
• Shen CC, Wu MP, Lu CH, Huang EY, Chang HW, Huang FJ et al. Short-and long-term clinical results of laparo- scopic-assisted vaginal hysterectomy and total ab- dominal hysterectomy. J Am Assoc gynecol Laparosc 2003; 10 (1) : 49-54.