Comparison of Clinical Effects Between Vaginal Hysterectomy and Laparoscopically Assisted Vaginal Hysterectomy

Abstract

Objective To evaluate clinical effects between vaginal hysterectomy (TVH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods From January to December 2010, a total of 86 patients with TVH (TVH group) and 92 patients with LAVH (LAVH group) were recruited into this study. Their clinical data before and after the operation were statistically analyzed. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Luoyang No. 3 People's Hospital. Informed consent was obtained from all participants. There were no statistical difference on pelvic operation history, gravidity, parity, anemia during pregnancy, and hysterauxesis (P>0.05). Results The operation time, blood loss volume and operation cost of TVH group was shorter, less, and lower than those of LAVH group (P 0.05). None of serious complication was occurred. Conclusion Compared with LAVH, TVH has the advantage of shorter operative time, less blood loss and lower cost, but it is more adapted to whom the uterus is in 4-month pregnancy and without pelvic adhesions. LAVH expanded TVH's adaptation. We should choose appropriate way according to different clinical conditions for the best therapeutic effects. Key words: vaginal hysterectomy; laparoscopic assisted vaginal hysterectomy; clinical value