Laparoscopic vs vaginal hysterectomy for benign pathology

Candiani, Massimo; Izzo, Stefano; Bulfoni, A; Riparini, Jennifer; Ronzoni, Stefania; Marconi, Anna Maria

doi:10.1016/j.ajog.2008.09.016

Cited by 89 publications

(65 citation statements)

References 51 publications

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“…The same is reflected in previous comparative studies also. 2,13,14 In the study done by V DaCosta et al they found that although not significantly different, patients in TLH group tended to spend on an average a shorter duration of time in hospital. 3 In the study done by Mathew Morton et al, 2 they found that the incidence of intraoperative complications in both the TLH and VH groups appeared to be similar, especially in patients with a uterine mass of less than 300 g. Niel Johnson et al, 15 in their mata-analysis of randomised control trials of methods of hysterectomy found no significant differences in urinary tract injury for laparoscopic versus vaginal hysterectomy.…”

Section: Discussionmentioning

confidence: 98%

Total laparoscopic hysterectomy versus vaginal hysterectomy: a retrospective study

Jayashree

Ajjammanavar

Amrutha

2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 98%

Total laparoscopic hysterectomy versus vaginal hysterectomy: a retrospective study

Jayashree

Ajjammanavar

Amrutha

2015

Int J Reprod Contracept Obstet Gynecol

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“…Estos resultados y los de otros autores muestran que el uso de instrumentos electroquirúrgicos podría disminuir el tiempo operatorio, la hemorragia y los días de estancia intrahospitalaria, comparado con la técnica tradicional (4,10).…”

Section: Discussionunclassified

Experiencia en La Utilización De La Pinza Electroquirúrgica De Coagulación Bipolar Plasmacinética en La Histerectomía Vaginal en El Hospital Central Norte De Pemex

et al. 2009

Rev. chil. obstet. ginecol.

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RESUMENObjetivo: Describir la morbilidad, pérdida sanguínea y tiempo quirúrgico en la realización de histerectomía vaginal con el uso de la pinza electroquirúrgica de coagulación bipolar plasmacinética. Metodología: Se realizó un estudio retrospectivo en 18 pacientes sometidas a histerectomía vaginal por patología benigna uterina, utilizando energía plasmacinética durante el período de enero de 2007 a febrero de 2009, en el Hospital Central Norte de Petróleos Mexicanos. Resultados: Tiempo quirúrgico de 59,4 ± 19,3 min (rango: 50-85 min), sangrado posoperatorio de 76,6 ± 22,3 ml (rango: 30-110 ml), peso del útero 497,3 ± 88,9 g (rango: 245-635 g) y tiempo de estancia intrahospitalaria de 2,1 ± 0,6 días (rango: 1-3 días). No se reportaron complicaciones durante el procedimiento ni en su recuperación posterior. Conclusiones: El uso de la pinza electroquirúrgica de coagulación bipolar plasmacinética, es una alternativa efectiva y segura durante la histerectomía vaginal. Es necesaria la realización de un ensayo aleatorizado para compararla con la téc-nica tradicional para demostrar otros beneficios. PALABRAS CLAVE: Histerectomía vaginal, pinza electroquirúrgica de coagulación bipolar SUMMARYObjective: To describe morbility, blood loss and procedure time of vaginal hysterectomy using an electrosurgical bipolar vessel sealer. Methods: Patients scheduled for vaginal hysterectomy using electrosurgical bipolar vessel sealer as the hemostasis technique during the period January 2007 to February 2009, at the Central Hospital North of Petroleos Mexicanos. Results: A total of 18 patients underwent vaginal hysterectomy for some benign disease of the uterus. Among these patients, mean procedure time in the electrosurgical bipolar vessel sealer was 59.4 ± 19.3 min (range: 50-85 min). Mean estimated blood loss was 76.6 ± 22.3 ml (range: 30-110 ml), weight of the uterus was 497.3 ± 88.9 g (range: 245-635 g), and length of stay 2.1 ± 0.6 days (range: 1-3 days). There was no perioperative complication. Conclusion: Electrosurgical bipolar vessel sealer is an effective alternative to sutures in vaginal hysterectomy. Larger adequately-powered studies are however still required. KEY WORDS: Vaginal hysterectomy, electrosurgical bipolar vessel sealer

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“…More recently, in a study randomizing a total of 60 patients to either TLH or VH, Candiani et al [20] reported that women undergoing laparoscopy had better pain scores and shorter time of postoperative analgesia use than those undergoing vaginal surgery. The current study also demonstrates that, compared with the vaginal approach, total laparoscopic hysterectomy is associated with less postoperative pain, and with a reduction in the need of additional postoperative analgesic doses.…”

Section: Discussionmentioning

confidence: 99%

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

Choi

Kim

Park

2012

Korean J Obstet Gynecol

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Laparoscopic vs vaginal hysterectomy for benign pathology

Cited by 89 publications

References 51 publications

Total laparoscopic hysterectomy versus vaginal hysterectomy: a retrospective study

Total laparoscopic hysterectomy versus vaginal hysterectomy: a retrospective study

Experiencia en La Utilización De La Pinza Electroquirúrgica De Coagulación Bipolar Plasmacinética en La Histerectomía Vaginal en El Hospital Central Norte De Pemex

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

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