Value of laparoscopic assistance for vaginal hysterectomy with prophylactic bilateral oophorectomy

This study was undertaken to compare morbidity for women undergoing laparoscopy-assisted vaginal hysterectomy with bilateral oophorectomy (LAVHO) and vaginal hysterectomy with bilateral oophorectomy without laparoscopic assistance (VHO). Between April 1, 2002, and February 1, 2004, a prospective ran...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2006-02, Vol.194 (2), p.351-354
Main Authors: Agostini, Aubert, Vejux, Nadège, Bretelle, Florence, Collette, Emmanuelle, De Lapparent, Thomas, Cravello, Ludovic, Blanc, Bernard
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood Loss, Surgical
Female
Gynecology. Andrology. Obstetrics
Humans
Hysterectomy, Vaginal - adverse effects
Hysterectomy, Vaginal - methods
Laparoscopic assistance
Laparoscopy - adverse effects
Length of Stay
Medical sciences
Middle Aged
Morbidity
Ovariectomy
Prospective Studies
Uterine Diseases - surgery
Vaginal hysterectomy
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Summary:This study was undertaken to compare morbidity for women undergoing laparoscopy-assisted vaginal hysterectomy with bilateral oophorectomy (LAVHO) and vaginal hysterectomy with bilateral oophorectomy without laparoscopic assistance (VHO). Between April 1, 2002, and February 1, 2004, a prospective randomized study at Marseille University Hospital (La Conception) included 48 patients who underwent a hysterectomy with prophylactic bilateral oophorectomy for benign uterine conditions. These patients were allocated to 2 groups (LAVHO vs VHO). The study variables were duration of surgery and of hospitalization and surgical and postoperative complications. There was no significant difference in the duration of surgery between the LAVHO and VHO groups (100.2 ± 27.9 vs 83.9 ± 34.6, P = .08). The rate of complications was significantly higher in the LAVHO group (13/24 [54.1%] vs 6/24 [25%], P = .039). The overall complication rate was higher with LAVHO than VHO. It thus appears that laparoscopic assistance is not useful in performing vaginal hysterectomies with prophylactic bilateral oophorectomies in patients without other related disorders (endometriosis, adhesions, adnexal anomalies).
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2005.08.015