A prospective randomised study of total laparoscopic hysterectomy, laparoscopically assisted vaginal hysterectomy and non-descent vaginal hysterectomy for the treatment of benign diseases of the uterus

Aims and objectives To compare the three techniques of hysterectomy—total laparoscopic hysterectomy (TLH), laparoscopic assisted vaginal hysterectomy (LAVH) and non-descent vaginal hysterectomy (NDVH). Materials and methods Ninety women with benign disease of uterus with failed medical management or...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2011-10, Vol.284 (4), p.907-912
Main Authors: Roy, Kallol Kumar, Goyal, Manu, Singla, Shilpa, Sharma, Jai Bhagwan, Malhotra, Neena, Kumar, Sunesh
Format: Article
Language:English
Subjects:
Adult
Blood Loss, Surgical
Endocrinology
Female
General Gynecology
Gynecology
Human Genetics
Humans
Hysterectomy
Hysterectomy, Vaginal - methods
Laparoscopy
Laparoscopy - methods
Medicine
Medicine & Public Health
Middle Aged
Obstetrics/Perinatology/Midwifery
Postoperative Complications
Prospective Studies
Treatment Outcome
Uterine Diseases - pathology
Uterine Diseases - surgery
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Summary:Aims and objectives To compare the three techniques of hysterectomy—total laparoscopic hysterectomy (TLH), laparoscopic assisted vaginal hysterectomy (LAVH) and non-descent vaginal hysterectomy (NDVH). Materials and methods Ninety women with benign disease of uterus with failed medical management or not amenable to medical management were randomised into three groups for either technique of hysterectomy, thirty in each group, by the same surgeon. For each patient, intra-operative parameters including total duration of surgery, blood loss, surgical difficulty and intra-operative complications were recorded. Total hospital stay, adverse events, satisfaction rate and recuperation time was analysed and compared. Statistical analysis was done using SPSS15 software. Results Non-descent vaginal hysterectomy (NDVH) took least operative time and significantly lesser blood loss ( p  = 0.02) compared to TLH and LAVH. There was no significant difference between adverse events, recuperation time and postoperative pain between the three techniques. Conclusions Non-descent vaginal hysterectomy may be a preferred technique over laparoscopic hysterectomy for benign diseases of uterus where extensive pelvic dissection is not required.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-010-1778-5