The availability of vaginal hysterectomy in benign gynecologic diseases: A prospective, non-randomized trial

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dc.contributor.authorGuvenal T.
dc.contributor.authorOzsoy A.Z.
dc.contributor.authorKilcik M.A.
dc.contributor.authorYanik A.
dc.date.accessioned2024-07-22T08:21:17Z
dc.date.available2024-07-22T08:21:17Z
dc.date.issued2010
dc.description.abstractObjective: To determine whether vaginal hysterectomy can be performed in patients with benign gynecologic diseases regardless of uterine size, uterine mobility and previous pelvic surgery and to compare with abdominal hysterectomy. Study Design: Between 2003 and 2008, we compared 47 vaginal hysterectomies (VH) with 61 abdominal hysterectomies (AH). We excluded from the study the clinical conditions that mandate abdominal exploration and standard indications for VH such as uterovaginal prolapse. Large, immobile uterus and previous pelvic surgery were not accepted as a contraindication for VH. Demographic characteristics, primary diagnosis, uterine weight, operation time, intraoperative blood loss, complications, and hospital stay and cost in both groups were compared. Results: Groups were similar with respect to demographic features and primary indications. Mean uterine weight and mean operation time were similar in VH and AH groups (258.0 g vs 293.9 g and 93.7 min vs 101.4 min, respectively). Oopherectomy was performed in 44.7% of VH and in 83.6% of AH. Colporrhaphies and/or anti-incontinence surgery were performed in 15 patients in the VH group (31.9%). The intraoperative blood loss was lower in the VH group than the AH group (245.0 mL vs 408.6 mL, P < 0.001). Perioperative complications were increased with AHs. The mean hospital stay and operation cost in the VH group were significantly less than the AH group (P < 0.001). Conclusion: This study indicates that vaginal hysterectomy could be performed with less morbidity in patients with benign gynecologic diseases even in large, immobile uterus and previous pelvic surgery © 2010 Japan Society of Obstetrics and Gynecology.
dc.identifier.DOI-ID10.1111/j.1447-0756.2010.01183.x
dc.identifier.issn13418076
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18549
dc.language.isoEnglish
dc.publisherBlackwell Publishing Asia
dc.subjectAdult
dc.subjectFemale
dc.subjectHumans
dc.subjectHysterectomy, Vaginal
dc.subjectMiddle Aged
dc.subjectProspective Studies
dc.subjectStatistics, Nonparametric
dc.subjectTreatment Outcome
dc.subjectUterine Diseases
dc.subjectUterus
dc.subjectabdominal hysterectomy
dc.subjectadult
dc.subjectarticle
dc.subjectbladder perforation
dc.subjectbleeding
dc.subjectcellulitis
dc.subjectclinical trial
dc.subjectcomparative study
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectdemography
dc.subjectendometrium hyperplasia
dc.subjectfemale
dc.subjecthealth care cost
dc.subjecthospitalization
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmetrorrhagia
dc.subjectmorbidity
dc.subjectoperation duration
dc.subjectovariectomy
dc.subjectpelvis surgery
dc.subjectperioperative complication
dc.subjectpostoperative complication
dc.subjectpostoperative hemorrhage
dc.subjectprospective study
dc.subjectsurgical infection
dc.subjectthrombophlebitis
dc.subjecttreatment indication
dc.subjectuterus
dc.subjectuterus mobility
dc.subjectuterus myoma
dc.subjectuterus size
dc.subjectuterus weight
dc.subjectvaginal hysterectomy
dc.subjectwound dehiscence
dc.subjectmiddle aged
dc.subjectnonparametric test
dc.subjecttreatment outcome
dc.subjectUterine Diseases
dc.titleThe availability of vaginal hysterectomy in benign gynecologic diseases: A prospective, non-randomized trial
dc.typeArticle

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