Comparative Study of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy in Pranangklao Hospital

Abstract

Comparative Study of Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy in Pranangklao Hospital

Khamnuan Jitmaneewan MD

Department of Obstetrics and Gynecology, Pranangklao Hospital, Nonthaburi

Objective: To compare operative outcomes of laparoscopically assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH).

Study design: Retrospective Cohort.

Setting: Department of Obstetrics and Gynecology, Pranangklao Hospital.

Subjects: Twenty three patients who underwent LAVH between September 2003 and October 2007 were recruited as cases. Controls were 46 patients, who underwent TAH during the same period. Each case has two controls. Controls were those who had uterine size and body weight nearest to cases.

Methods: Data from medical records of 23 cases and 46 controls were reviewed and recorded.

Main outcome measures: Operative time, length of hospital stay, blood replacement during surgery.

Results: Basic characteristics such as age, body weight and uterine size of cases and controls were comparable. Mean operative time was 128.3 ± 35.1 minutes for LAVH group which was significantly longer than 105.4 ± 39.2 minutes for TAH group (p-value = 0.021). The mean hospitalization was significantly shorter for LAVH group 5.4 ± 1.1 days compared to 6.6 ± 1.5 days in TAH group, (p-value = 0.001). There was no difference in blood replacement between the two groups (p-value = 0.730).

Conclusion: LAVH had longer operative time but with shorter hospital stay in comparison with TAH.

Vajira Med J 2008 ; 52 : 111 - 117