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Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy



Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy



Taiwanese Journal of Obstetrics and Gynecology 53(4): 486-489



This study aims to compare between operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy (SPA-LAVH) and single-port-access total laparoscopic hysterectomy (SPA-TLH), further subdivided by vaginal cuff closure via laparoscopic suture (VCC-L) or via the vaginal route (VCC-V). A custom-made port was used for single-port laparoscopy in 111 patients who underwent SPA-LAVH (n?=?33), SPA-TLH with VCC-L (n?=?35), and SPA-TLH with VCC-V (n?=?43) during October 2009-October 2010. Records were reviewed retrospectively. A significant difference in the operating time was observed among the groups (p?=?0.009). SPA-TLH with VCC-L took a significantly longer time to be performed (118.6?±?41.8 minutes) than SPA-TLH with VCC-V (98.6?±?21.3 minutes) or SPA-LAVH (102.0?±?20.3 minutes). The decrease in hemoglobin level on the 1(st) day postsurgery was significantly smaller in case of SPA-LAVH (1.56?±?0.97?g/dL, p?=?0.005) compared with that in case of SPA-TLH with VCC-L (2.19?±?0.95?g/dL) and SPA-TLH with VCC-V (2.24?±?0.95?g/dL). No significant differences in other surgical outcomes were found. SPA-TLH with laparoscopic vaginal suture required the longest operating time, and hemoglobin changes were smaller in the SPA-LAVH group than in the other groups. In patients undergoing SPA laparoscopy, we recommend the SPA-LAVH procedure.

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Accession: 058462893

Download citation: RISBibTeXText

PMID: 25510688

DOI: 10.1016/j.tjog.2013.07.003


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