Korean J Gynecol Endosc Minim Invasive Surg.  2011 Nov;23(2):63-67.

The comparison of laparoscopic-assisted vaginal hysterectomy by the number of ports

• Choi JH
• Park SY
• Choi EY
• Jung H

Abstract

OBJECTIVE
To compare clinical features and surgical outcomes of laparoscopic-assisted vaginal hysterectomy (LAVH) by the number of ports in the treatment of uterine myoma and adenomyosis.
METHODS
Between 1st January 2009 and 31th March 2010, 50 patients underwent 5 mm-2 port LAVH and 10 mm-3 port LAVH respectively by same surgeon at Chosun university hospital. We compared clinical features and surgical outcomes.
RESULTS
There was no difference in weight of uterus between the 5 mm-2 port LAVH group and the 10 mm-3 port LAVH group (465.2+/-206.9 g vs. 470.8+/-148.5 g) (Mean+/-S.D.), and in amounts of blood loss during procedure between the two groups (115.0+/-179.3 mL vs. 125.0+/-211.7 mL). The duration of procedure showed a difference between the two groups(55.1+/-12.0 minutes vs. 60.4+/-19.5 minutes) (p=0.03). In the 5 mm-2 port LAVH group, 2 of 50 (4%) converted to laparotomy, and 1 of 50 (2%) in the 10 mm-3 port LAVH group. There was no difference in length of postoperative hospital day between the two groups (5.8+/-1.0 days vs. 6.3+/-1.6 days). In the comparison of postoperative complications, 1 of 50 (2%) required readmission and reoperation for both of the two groups.
CONCLUSION
We conclude that 5 mm-2 port LAVH could be a available method in the treatment of uterine myoma and adenomyosis.

Keyword

5 mm laparoscopic-assisted vaginal hysterectomy; 2 port; 3 port

MeSH Terms

Adenomyosis
Female
Humans
Hysterectomy, Vaginal
Laparotomy
Myoma
Postoperative Complications
Reoperation
Uterus