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Outcomes and complications of laparoscopically assisted vaginal hysterectomy
Author(s) -
Seow KokMin,
Tsou ChungTsung,
Lin YuHung,
Hwang JiannLoung,
Tsai YiehLoong,
Huang LeeWen
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.06.014
Subject(s) - medicine , laparotomy , hysterectomy , complication , surgery , significant difference , laparoscopy
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.