| Laparoscopic supracervical hysterectomy compared with total abdominal hysterectomy. | |
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MedLine Citation:
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PMID: 18998008 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess if laparoscopic supracervical hysterectomy (LSH) had any advantage over traditional total abdominal hysterectomy (TAH) carried out for benign conditions. METHODS: This prospective case control study was carried out between June 2005 and October 2006 in the Obstetrics and Gynecology Department of Zagazig University Hospitals, Zagazig, Egypt. Twenty-eight women operated upon by LSH were compared to 56 women who had undergone TAH. Variables compared were patient's age, weight, preoperative diagnosis, number of previous laparotomies, operative time, intra/post-operative complications, blood loss, uterine weight, hospital stay, need for analgesia, and resumption of normal activity. RESULTS: Patient's demographics were similar in both groups. The operative time was longer in the LSH group (93.7+/-5.7 versus 69.0+/-6.8 min, p=0.001). Other operative and post-operative parameters were similar except that LSH patients showed shorter hospital stay (1.7+/-0.5 versus 4.0+/-0.7 days), time to resume normal activity (20.8+/-2.6 versus 50.0+/-7.9 days) and lower dose of post-operative analgesia (141.7+/-62.4 versus 282.0+/-87.4mg diclofenac), (p=0.001). CONCLUSION: Laparoscopic supra cervical hysterectomy is a safe procedure and should be considered, if hysterectomy will be carried out for a benign condition with healthy cervix. A further larger study is needed to confirm these findings. |
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Authors:
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Abdalla E Diab; Essam E Abdul-Latif; Mohamed Eldash; Mohamed S Mahdy; Hamed Shalaby; Mustafa Shafik |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Saudi medical journal Volume: 29 ISSN: 0379-5284 ISO Abbreviation: Saudi Med J Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-10 Completed Date: 2009-01-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7909441 Medline TA: Saudi Med J Country: Saudi Arabia |
Other Details:
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Languages: eng Pagination: 1597-600 Citation Subset: IM |
Affiliation:
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Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt. abdalladiab@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Case-Control Studies Female Humans Hysterectomy / methods* Laparoscopy* Middle Aged Prospective Studies |
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