Abdominal, laparoscopic, and vaginal hysterectomy with bilateral salpingo-oophorectomy - A feasibility study for further evaluation in randomized trials
Cr. Nwosu et Jk. Gupta, Abdominal, laparoscopic, and vaginal hysterectomy with bilateral salpingo-oophorectomy - A feasibility study for further evaluation in randomized trials, SURG ENDOSC, 13(2), 1999, pp. 148-150
Citations number
11
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
Background: The abdominal route is the traditional method of performing hys
terectomy with bilateral salpingo-oophorectomy. In a feasibility study, we
compared a nonconventional (vaginal) route for bilateral salpingo-oophorect
omy at the time of vaginal hysterectomy (VH + BSO) to similar forms of hyst
erectomy performed abdominally or with operative laparoscopy,
Methods: Fifty-nine patients were subject to either total abdominal hystere
ctomy and bilateral salpingo-oophorectomy (TAH + BSO; n = 19), or laparosco
pic-assisted vaginal hysterectomy and bilateral salpingo-oophorectomy (LAVH
+ BSO; n = 19) or VH + BSO (n = 21).
Results: VH + BSO resulted in a shorter operating time compared to LAVH + B
SO (p < 0.001), shorter hospital stay compared with TAH + BSO (p = 0.001),
and quicker longterm recovery compared to the other two operations.
Conclusion: This preliminary but significant study shows that the vaginal r
oute for salpingo-oophorectomy at the time of vaginal hysterectomy is super
ior to other methods of hysterectomy. A randomized trial is needed to confi
rm these initial findings.