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Title: | A Review of post-operative morbidity following laparoscopic assisted vaginal hysterectomy compared to conventional types of hysterectomy |
Authors: | Weerasekera, D. Padumadasa, G.S. |
Keywords: | Gynecologic Surgical Procedures Hysterectomy, Vaginal |
Issue Date: | 2002 |
Publisher: | Sri Lanka College of Obstetricians and Gynaecologists |
Citation: | Sri Lanka Journal of Obstetrics and Gynaecology. 2002; 24:19-22 |
Abstract: | OBJECTIVE: To analyse the indications, morbidity and duration of hospital stay for laparoscopic assisted vaginal hysterectomy in comparison to other types of hysterectomy. DESIGN: A prospective cohort study. PATIENTS: All women undergoing hysterectomy dur¬ing the period of October 2000 to April 2002 at the University Obstetrics and Gynaecology Unit, Colombo-South Teaching Hospital. INTERVENTIONS: A patient questionnaire completed prior to surgery, on discharge from the hospital, and two weeks after surgery. Data extracted from patient's hospital case notes. MAIN OUTCOME MEASURES: Indications, operative complications, postoperative morbidity and length of hospital stay for different types of hysterectomy. RESULTS: 270 women underwent hysterectomy during this period, out of which 60% were total abdominal hysterectomies, 19.6% were vaginal hysterectomy and repairs, and 17% were laparoscopic assisted vaginal hysterectomies. Common indications for hysterectomy were fibroids (39.6%), uterine prolapse (19.6%) and severe dysfunctional uterine bleeding (11.5%). Mean postoperative hospital stay was 2 days for laparoscopic hysterectomy, 4 for vaginal hysterectomy and repair, and 5 for total abdominal hysterectomy. CONCLUSIONS: Laparoscopic assisted vaginal hysterectomy appears to be a better alternative to conventional hysterectomy with regard to post-operative morbidity and hospital stay in selected patients. |
URI: | http://repository.kln.ac.lk/handle/123456789/1543 |
ISSN: | 1391-7536 (Print) 2279-1655 (Online) |
Appears in Collections: | Journal/Magazine Articles |
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