Outcomes and complications of laparoscopically assisted vaginal hysterectomy

Kok Min Seow, Chung Tsung Tsou, Yu Hung Lin, Jiann Loung Hwang, Yieh Loong Tsai, Lee Wen Huang

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To report whether operative time, intraoperative complications, and rate of conversion to laparotomy decreased after physicians had acquired an additional 4 years experience with laparoscopically assisted vaginal hysterectomy (LAVH). Methods: Group 1 (n = 462) included the women who underwent LAVH from May 1, 1994 to December 31, 1997, and group 2 (n = 583) included those who underwent LAVH from January 1, 1998 to December 31, 2001. Results: The mean duration of surgery in groups 1 and 2 was 146 and 114 min, respectively, and the difference was significant (P <0.0001). The overall complication rate in the last 4 years of the study was 7.1%, which was significantly lower than the 13.4% calculated for the first 4 years (P = 0.001). Conclusion: Operative time as well as rates of surgical complications and conversion to laparotomy decreased with increased surgeon experience at performing LAVH.

Original languageEnglish
Pages (from-to)29-34
Number of pages6
JournalInternational Journal of Gynecology and Obstetrics
Volume95
Issue number1
DOIs
Publication statusPublished - Oct 2006

Keywords

  • Intraoperative complications
  • Laparoscopically assisted vaginal hysterectomy
  • LAVH
  • Operative time

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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