Clinical study of reformed laparoscopic-assisted vaginal hysterectomy of large uterus with sutureless of cardinal and uterosacral ligament

VernacularTitle:改良主骶韧带免缝扎法腹腔镜辅助阴式大子宫切除术的临床分析
Author: Xinling ZHOU ; Xinyong JING ; Yi LI
Publication Type:Journal Article
Keywords: Hysterectomy,vaginal; Laparoscopes; Ligaments
From: Chinese Journal of Postgraduates of Medicine 2011;34(36):11-13
CountryChina
Language:Chinese
Abstract: Objective To compare the clinical efficacy between reformed laparoscopic-assisted vaginal hysterectomy with sutureless of cardinal and uterosacral ligament(LAVH)and trans abdominal hysterectomy(TAH)for large uterus.Methods A retrospective study was performed using 106 reformed LAVH patients(observation group)and 100 TAH patients(control group)whose uterus were big(≥ 12weeks of gestation),the information was observed in perioperative period.Results Anal exsufflation time,hospitalization time after operation and postoperative pain time in observation group[(25.4 ± 3.3)h,(6.5 ±1.5)d,(16.9 ± 2.4)h]were significantly shorter than those in control group[(42.4 ± 5.3)h,(8.5 ± 1.5)d,(30.6 ± 5.3)h](P ＜ 0.05),the rate of complication in observation group[5.7％(6/106)]waa lower than that in control group[10.0％(10/100)](P＜ 0.05).Conclusion As to large uterus,reformed LAVH has several advantages over TAH,the technique is easy to learn,operation time is short,and the rate of complication is low.