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A retrospective study of laparoscopic-assisted vaginal hysterectomy (LAVH) in virgins and nulliparae
- Source :
- European Journal of Obstetrics & Gynecology and Reproductive Biology. 157:217-221
- Publication Year :
- 2011
- Publisher :
- Elsevier BV, 2011.
-
Abstract
- Objective To study the feasibility and result of LAVH performed in virgins and nulliparae. Study design Retrospective review of 297 consecutive cases of LAVH using the Biswas Uterine Vaginal Elevator (BUVE) in a private hospital in Hong Kong for benign gynaecological conditions between July 2006 and February 2009. Variables analysed included patient demographics, operative times, uterine weight, hospital stay, intraoperative blood loss, and operative complications. Patients who were virgins and nulliparae were compared to each other and to a control group of patients receiving LAVH during the same period of time. Results All 297 cases of LAVH were successfully performed without any conversion. Ninety-seven LAVHs were performed on 31 virgins and 66 nulliparae, while 200 LAVHs were performed on parous patients during the same study period. The uterine sizes in the virgin group were significantly larger than those in the other two groups. The operation times in the virgin and nullipara groups were significantly longer than those in the control group. The complication rates of LAVH in these three groups were 6.4%, 12.1% and 3% in the virgin, nulliparous and control groups respectively. The overall complication rate of this series was low at 5.3%. Conclusions LAVH is feasible with acceptable safety in virgins and nulliparae in spite of their narrow and tight vaginas.
- Subjects :
- Adult
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Blood Loss, Surgical
Postoperative Complications
Blood loss
Outcome Assessment, Health Care
Hysterectomy, Vaginal
Prevalence
medicine
Humans
Laparoscopy
Menorrhagia
Aged
Retrospective Studies
Sexual Abstinence
Hysterectomy
Leiomyoma
medicine.diagnostic_test
Obstetrics
business.industry
Obstetrics and Gynecology
Retrospective cohort study
Length of Stay
Middle Aged
medicine.disease
Endoscopy
Surgery
Parity
Treatment Outcome
medicine.anatomical_structure
Reproductive Medicine
Case-Control Studies
Uterine Neoplasms
Vagina
Feasibility Studies
Female
business
Complication
Subjects
Details
- ISSN :
- 03012115
- Volume :
- 157
- Database :
- OpenAIRE
- Journal :
- European Journal of Obstetrics & Gynecology and Reproductive Biology
- Accession number :
- edsair.doi.dedup.....40163cd76c1ef4e17c71696d3831c917