A Multicenter Randomized Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Abdominal Hysterectomy in Abdominal Hysterectomy Candidates

The comparison of postoperative pain: total laparoscopic hysterectomy versus vaginal hysterectomy

“…Such a superiority, however, is not so clearly demonstrated over laparoscopic hysterectomy [15,16]. In a previous study of this kind completed 6 years ago.…”

Comparative study of abdominal, vaginal and laparoscopic assisted vaginal hysterectomies with special reference to immediate sequel, late sequel and complications

“…Studies by Summit, Ottosen, Hwang, Garry et al, Rosita A et al [8][9][10][11] 2007, found that in their studies shows that there is least blood loss in the laparoscopic assisted vaginal hysterectomy.between these three groups in amount loss, hemostasis is more easily obtained at laparoscopic assisted vaginal hysterectomy because of magnification, close inspection, routine use of suction irrigation and bipolar cautery. In the present study 5 cases had excessive blood of which 2 cases underwent abdominal hysterectomy and 3 cases underwent vaginal hysterectomy.…”

“…No bladder injuries are found in our study. 8,11,13 Ribiero, Garry et al observed that ureteric injuries are more common with LAVH than abdominal and vaginal hysterectomy. No ureteric injuries are found in our study.…”

Hysterectomy – need of a paradigm shift

“…In a multicenter study comparing LAVH and TAH, the mean operating time was significantly longer for LAVH than VH (179.8 vs. 146.0 minutes) and significantly shorter hospital stay (2.1 days) and convalescence (28.0 days) for VH than LAVH (4.1 days and 38.0 days, respectively 2 . Whereas AH is associated with two incisions, one being abdominal and the other being vaginal, the vaginal route utilizes only vaginal incision thereby minimizing all the complications related to the abdominal incision, namely post-operative pain, wound infection, dehiscence and ventral hernias.…”