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

Fingerprint

Vaginal Hysterectomy
Operative Time
Laparotomy
Intraoperative Complications
Physicians

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Outcomes and complications of laparoscopically assisted vaginal hysterectomy. / Seow, Kok Min; Tsou, Chung Tsung; Lin, Yu Hung; Hwang, Jiann Loung; Tsai, Yieh Loong; Huang, Lee Wen.

In: International Journal of Gynecology and Obstetrics, Vol. 95, No. 1, 10.2006, p. 29-34.

Research output: Contribution to journalArticle

Seow, Kok Min ; Tsou, Chung Tsung ; Lin, Yu Hung ; Hwang, Jiann Loung ; Tsai, Yieh Loong ; Huang, Lee Wen. / Outcomes and complications of laparoscopically assisted vaginal hysterectomy. In: International Journal of Gynecology and Obstetrics. 2006 ; Vol. 95, No. 1. pp. 29-34.
@article{f425d2382174401d90128df404abf54a,
title = "Outcomes and complications of laparoscopically assisted vaginal hysterectomy",
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.",
keywords = "Intraoperative complications, Laparoscopically assisted vaginal hysterectomy, LAVH, Operative time",
author = "Seow, {Kok Min} and Tsou, {Chung Tsung} and Lin, {Yu Hung} and Hwang, {Jiann Loung} and Tsai, {Yieh Loong} and Huang, {Lee Wen}",
year = "2006",
month = "10",
doi = "10.1016/j.ijgo.2006.06.014",
language = "English",
volume = "95",
pages = "29--34",
journal = "International Journal of Gynecology and Obstetrics",
issn = "0020-7292",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Outcomes and complications of laparoscopically assisted vaginal hysterectomy

AU - Seow, Kok Min

AU - Tsou, Chung Tsung

AU - Lin, Yu Hung

AU - Hwang, Jiann Loung

AU - Tsai, Yieh Loong

AU - Huang, Lee Wen

PY - 2006/10

Y1 - 2006/10

N2 - 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.

AB - 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.

KW - Intraoperative complications

KW - Laparoscopically assisted vaginal hysterectomy

KW - LAVH

KW - Operative time

UR - http://www.scopus.com/inward/record.url?scp=33748162239&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748162239&partnerID=8YFLogxK

U2 - 10.1016/j.ijgo.2006.06.014

DO - 10.1016/j.ijgo.2006.06.014

M3 - Article

C2 - 16926015

AN - SCOPUS:33748162239

VL - 95

SP - 29

EP - 34

JO - International Journal of Gynecology and Obstetrics

JF - International Journal of Gynecology and Obstetrics

SN - 0020-7292

IS - 1

ER -