Vaginal Hysterectomy for Benign Disease Without Prolapse

Kulkarni, M.; Rogers, Rebecca G.

doi:10.1097/grf.0b013e3181cd3f0d

Cited by 14 publications

(10 citation statements)

References 50 publications

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“…14 There are many approaches to hysterectomy for benign diseases, including AH, VH, laparoscopic assisted vaginal hysterectomy (LAVH), total laparoscopic hysterectomy (TLH), and subtotal laparoscopic hysterectomy. With the constant modernization of minimally invasive concepts in obstetrics and gynaecology, doctors choose surgical routes by considering not only the patient's health status, but also the psychological needs of patient and the patient quality of life after surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of vaginal and abdominal hysterectomy: a prospective non-randomized trial

Chen¹,

Dong-ping²,

Li³

et al. 2014

Pak J Med Sci

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Objective: To compare outcomes of vaginal and abdominal hysterectomy procedures in women with benign gynaecological diseases. Methods: This was a prospective study of outcomes of consecutive patients who underwent total vaginal hysterectomy (VH) or abdominal hysterectomy (AH) for benign gynaecological diseases. Patient characteristics before, during, and after the operations were reviewed. Patients were followed up for three months to evaluate postoperative complications. Results: This study included a total of 313 patients. 143 patients underwent AH and 170 patients underwent VH. Baseline characteristics were similar between the two groups. There were no intraoperative complications in either group. Operation time, intraoperative blood loss, first postoperative flatus time, time to out-of-bed activity, mean maximum postoperative body temperature, and duration of fever were all significantly shorter and less severe in the VH group compared with the AH group. In addition, vaginal length in the VH group was significantly shorter than in the AH group. Conclusions: Vaginal hysterectomy has advantages over AH in the treatment of benign gynaecological diseases, providing greater efficacy and safety with minimal invasiveness.

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Section: Discussionmentioning

confidence: 99%

Comparison of vaginal and abdominal hysterectomy: a prospective non-randomized trial

Chen¹,

Dong-ping²,

Li³

et al. 2014

Pak J Med Sci

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“…10 Since its advent, laparoscopic surgeries have been criticized as it was a difficult procedure which could be performed only by experienced surgeons. The duration of the surgery also was prolonged compared the other types, but the duration of the hospital stay was far less and the post-operative pain also was comparatively lesser.…”

Section: Discussionmentioning

confidence: 99%

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

Reddy

2016

Int Surg J

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“…Vaginal hysterectomy has comparable outcomes with laparoscopic hysterectomy, except for a shorter operative time. However, previous caesarean delivery, nulliparity or no prior vaginal delivery, large uterus, lack of uterine descent and planned oophorectomy, are relative contraindications for vaginal hysterectomy (Kulkarni and Rogers 2010). Although, the benefi ts of vaginal hysterectomy are recognised, many gynaecologists are uncomfortable with this technique.…”

Section: Discussionmentioning

confidence: 98%

Minilaparotomy vs laparoscopic hysterectomy for benign gynaecological diseases

Sirisabya

Manchana

2013

Journal of Obstetrics and Gynaecology

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Hysterectomy is the most frequent gynaecological procedure carried out with either conventional (abdominal) or minimally invasive surgery (MIS). Despite the advantage of MIS compared with the conventional procedure, it requires extensive training and a long learning curve. Minilaparotomy hysterectomy is an alternative approach that needs no sophisticated and expensive equipment or training. The objective of this study was to compare the perioperative outcomes between minilaparotomy hysterectomy (MH) and laparoscopic hysterectomy (LH) in patients with benign gynaecological diseases. A significantly shorter operative time was obtained in MH. There was no significant difference in blood loss and perioperative complications. However, a higher intraoperative complication (two bladder injuries and one major blood loss) were observed in the LH. Early postoperative VAS pain scores and recovery time were insignificantly different between both groups. Overall patient satisfaction levels and satisfaction scores were found to be similar in both groups, without significant difference.

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Vaginal Hysterectomy for Benign Disease Without Prolapse

Cited by 14 publications

References 50 publications

Comparison of vaginal and abdominal hysterectomy: a prospective non-randomized trial

Comparison of vaginal and abdominal hysterectomy: a prospective non-randomized trial

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

Minilaparotomy vs laparoscopic hysterectomy for benign gynaecological diseases

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