Document Detail

Total laparoscopic versus vaginal hysterectomy: a retrospective comparison.
MedLine Citation:
PMID:  19126286     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To compare the outcomes of total laparoscopic hysterectomy (TLH) and vaginal hysterectomy (VH) in a community teaching hospital. METHODS: A retrospective chart review of all women who underwent TLH and VH at North York General Hospital between January 2002 and December 2004 was conducted. Groups were compared with respect to demographic data, and intraoperative and postoperative outcomes. RESULTS: One hundred nine women underwent TLH, and 43 women underwent VH. There was no statistically significant difference between groups in the mean age of patients, estimated blood loss, or mean postoperative hemoglobin change. TLH took significantly longer to perform (104.4 vs. 54.4 minutes, P < 0.001); however, the mean postoperative duration of hospital stay was greater in the VH group (2.2 vs. 1.2 days, P < 0.001). Mean uterine mass was significantly greater in the TLH group (290.9 vs. 151.6 g, P < 0. 001). The incidence of intraoperative and postoperative complications was slightly higher in the TLH group than in the VH group, but the difference did not reach statistical significance. CONCLUSIONS: TLH was associated with significantly longer operative time and shorter hospital stay than VH. There was a trend towards more intraoperative and postoperative complications in the TLH group than in the VH group.
Matthew Morton; Vincent Y T Cheung; David M Rosenthal
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  30     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2009-01-07     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1039-44     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, North York General Hospital, University of Toronto, Toronto, ON.
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MeSH Terms
Cohort Studies
Hysterectomy / methods*
Length of Stay
Middle Aged
Retrospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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