A critical analysis of laparoscopic assisted vaginal hysterectomies compared with vaginal hysterectomies unassisted by laparoscopy and transabdominal hysterectomies

Murray J. Casey, J. Garcia-Padial, C. Johnson, N. G. Osborne, J. Sotolongo, P. Watson

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The first 115 laparoscopically assisted vaginal hysterectomies (LAVH) done by our faculty surgeons were compared with 220 vaginal hysterectomies (VH) and 194 abdominal hysterectomies (AH) done in our affiliated hospitals over the same period of time. Logistic regression analysis indicates that LAVHs were done for cases that would significantly be more likely selected for AH than for VH (p <0.0001). Matched case control studies with 28 LAVH/VH and 34 LAVH/AH pairs and bivariate analyses demonstrated that LAVH can be accomplished with low morbidity, short lengths of stay, and little, if any, increase in operating times compared with VH and AH. The LAVH procedure can be expected to replace many AHs in the future.

Original languageEnglish
Pages (from-to)7-14
Number of pages8
JournalJournal of Gynecologic Surgery
Issue number1
Publication statusPublished - 1994


All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

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