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Surgical Outcome and Cost Comparison Between Total Vaginal Hysterectomy and Laparoscopic Hysterectomy for Uteri Weighing >500 g

Cho, H. y. et al.

Journal of minimally invasive gynecology. VOL 21; NUMBER 1, ; 2014, 115-119 -- ELSEVIER SCIENCE B.V., AMSTERDAM Part 1; (pages 115-119) -- 2014

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  • Title:
    Surgical Outcome and Cost Comparison Between Total Vaginal Hysterectomy and Laparoscopic Hysterectomy for Uteri Weighing >500 g
  • Author: Cho, H. y.;
    Park, S. t.;
    Kim, H. b.;
    Kang, S. w.;
    Park, S. h.
  • Found In: Journal of minimally invasive gynecology. VOL 21; NUMBER 1, ; 2014, 115-119
  • Journal Title: Journal of minimally invasive gynecology.
  • Subjects: Medicine; LCC: BF1; Dewey: 618.10597
  • Publication Details: ELSEVIER SCIENCE B.V., AMSTERDAM
  • Language: English
  • Abstract: Study ObjectiveTo compare surgical outcomes and overall costs of less invasive methods of hysterectomy to treat benign disease including total vaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH) in women with a uterus weighing >500 g. DesignRetrospective review of medical records (Canadian Task Force classification III). SettingUniversity-associated hospital. PatientsOne hundred three women with a uterus weighing >500 g who had undergone either total vaginal hysterectomy (TVH) (n = 52) or total laparoscopic hysterectomy (TLH) (n = 51). Measurements and Main ResultsCost data were extracted from the hospital billing system. Patient characteristics, surgical outcomes, and hospital costs were compared between the 2 groups. Patient characteristics were similar in both groups except for a history of surgery (TVH 11.5%, and TLH 37.3%; p = .01). Insofar as surgical outcomes, mean (SD) operative time was shorter in the TVH group compared with the TLH group (110.00 [28.68] minutes vs 180.47 [51.32] minutes; p Our data suggest that TVH is a safe and economic procedure even in women with a uterus weighing >500 g. Skilled surgeons should preferentially consider TVH for treatment of benign uterine disease, regardless of uterine size.
  • Identifier: Journal ISSN: 1553-4650
  • Publication Date: 2014
  • Physical Description: Electronic
  • Shelfmark(s): 5020.160000
  • UIN: ETOCRN344795512

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