Clinical Comparison of Laparoscopy-Assisted Vaginal Hysterectomy
(LAVH) and Total Laparoscopy Hysterectomy (TLH) in Women with Benign
Disease of Uterus – a Prospective Randomized Study
Drahoňovský J., Pán M., Barešová Š., Kučera E., Feyereisl J.
Ústav pro péči o matku a dítě, Praha, vedoucí doc. MUDr. J. Feyereisl, CSc. |
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Summary:
Objective: To compare two techniques of hysterectomy.
Design: Prospective, randomised study.
Setting: Institute for the Mother and Child Care, Prague.
Methods: 85 patients randomized into two groups – laparoscopically assisted vaginal hysterectomy (LAVH)
and total laparoscopic hysterectomy (TLH). The criteria studied were length of the procedure, blood loss,
complication rate, uterus weight, rate of conversions, consumption of analgesics, inflammatory response.
Results: Mean length of the procedure for LAVH, TLH was 85 and 111 min, respectivelly, the mean
blood loss 306 and 184 ml. There was no difference in inflammatory response and use of antibiotics.
Consumption of analgesics was higher in the TLH group. Conversions to laparotomy occurred only in
the LAVH group. Only in the TLH group we noticed serious postoperative complications.
Conclusion: LAVH seems to be the preferable technique of hysterectomy for benign diseases of the
uterus.
Key words:
hysterectomy, minimally invasive surgery, laparoscopy.
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