Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis

Chalermchockchareonkit, Amphan and Tekasakul, Putthawan and Chaisilwattana, Pongsakdi and Sirimai, Korakot and Abd. Wahab, Noraziana (2012) Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis. International Journal of Gynecology and Obstetrics, 116 (2). pp. 109-111. ISSN 0020-7292

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Abstract

To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of 503 patients had severe pelvic endometriosis; of these, 115 patients underwent LH and 388 patients underwent AH. Surgical outcomes—including operative time, blood loss, length of hospital stay, and need for blood transfusion—were analyzed and compared between the 2 treatment groups. Results: Operative time was significantly longer for LH than for AH (185.1±48.7 minutes and 139.9±52.4 minutes, respectively; Pb0.001). However, estimated volume of blood loss, length of hospital stay, and complication rates were significantly less for patients in the LH group than for those in the AH group (302.6±255.1 mL versus 760.9±633.2 mL [Pb0.001]; 3.5±1.1 days versus 6.4±3.0 days [Pb0.001]; and 18.3% versus 49.0% [Pb0.001], respectively). Conclusion: Compared with AH, LH was associated with fewer complications. LH should, therefore, be the preferred surgical option for women with severe pelvic endometriosis who require a hysterectomy.

Item Type:	Article (Journal)
Additional Information:	3744/11543
Uncontrolled Keywords:	Abdominal hysterectomy, Laparoscopic hysterectomy, Severe pelvic endometriosis, Surgical complication
Subjects:	R Medicine > RG Gynecology and obstetrics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Obstetric & Gynecology
Depositing User:	Dr Noraziana Abd Wahab
Date Deposited:	23 Dec 2011 12:32
Last Modified:	13 Jan 2012 11:37
URI:	http://irep.iium.edu.my/id/eprint/11543

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