Comparative study of different kinds of hysterectomy
AIM: To compare different approaches of hysterectomy by reviewing the clinical results of three kinds of hysterectomy. METHODS: A retrospective analysis was conducted in 497 cases of total laparoscopical hysterectomy (TLH), 425 cases of transabdominal hysterectomy(TAH) and 231 cases of trans-vaginal hysterectomy (TVH) performed in Shaanxi Mother and Children's Hospital from January 2004 to 2009. Factors including duration of operation, intra-operative blood loss, postoperative pain, recovery time, incidence of complications, sexual satisfaction and hospital expenses were compared. RESULTS: No significant difference between the three kinds of hysterectomy was observed in the duration of operation. The intra-operative blood loss was significantly less in TLH compared with that in TAH and TVH(P ＜ 0.05), but no significant difference was observed between TAH and TVH. Postoperative pain was most severe in TAH compared with that TVH and TLH(P ＜ 0.05), and postoperative pain in TVH was only slightly worse than that in TLH. The incidence of postoperative complications was significantly lower in TLH and TVH, compared with that in TAH (P ＜ 0.05), and no significant difference was found between TLH and TVH. The duration of antibiotic administration in TLH and TVH was significantly shorter than that in TAH (P ＜ 0.05) and no significant difference was observed between the other two approaches. CONCLUSION: Trans-vaginal hysterectomy and total laparoscopical hysterectomy are the two optimal approaches to hysterectomy thanks to their minimum wounds, quick recovery, short hospital time and fewer complications.
NETL
NSTL
万方数据
维普
