Comparison of clinical effects between total vaginal hysterectomy and total laparoscopic hysterectomy on large uteruses over 300 grams
Objective: To compare intra‐ and postoperative complications, operation time, and duration of hospital stay, and to evaluate cost‐effectiveness between total vaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH) groups. Material & Methods: Patients undergoing TVH or TLH for a la...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2010-06, Vol.36 (3), p.656-660 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Kim, Hong-Bae Song, Ji-Eun Kim, Geun-Hee Cho, Hye-Yon Lee, Keun-Young |
| description | Objective: To compare intra‐ and postoperative complications, operation time, and duration of hospital stay, and to evaluate cost‐effectiveness between total vaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH) groups.
Material & Methods: Patients undergoing TVH or TLH for a large uterus weighing more than 300 g were recruited from January to December 2007: 150 cases of TVH and 100 cases of TLH, were used. Evaluated variables are as follows: age, parity, previous surgical history, intra‐ and postoperative complications, hysterectomy specimen weight, operation time, duration of hospital stay and total cost. Total cost ($US) include admission, anesthesia and operation costs.
Results: There was no difference in demographics, intra‐ and postoperative complications, and uterine weight. However, operation time in TLH (mean, 179.9 min) was significantly longer than TVH (mean, 93.8 min; P |
| doi_str_mv | 10.1111/j.1447-0756.2010.01185.x |
| format | Article |
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Material & Methods: Patients undergoing TVH or TLH for a large uterus weighing more than 300 g were recruited from January to December 2007: 150 cases of TVH and 100 cases of TLH, were used. Evaluated variables are as follows: age, parity, previous surgical history, intra‐ and postoperative complications, hysterectomy specimen weight, operation time, duration of hospital stay and total cost. Total cost ($US) include admission, anesthesia and operation costs.
Results: There was no difference in demographics, intra‐ and postoperative complications, and uterine weight. However, operation time in TLH (mean, 179.9 min) was significantly longer than TVH (mean, 93.8 min; P < 0.05). The mean length of hospital stay was 6.13 days in TVH group and 5.78 days in TLH group, respectively (P < 0.05). TVH was more cost‐effective than TLH. There was significant difference in total cost between the two groups (TVH, mean $1815.7 vs TLH, mean $2560.5; P < 0.05). When the total cost was analyzed in detail, there was no difference in admission cost. However, the significant mean differences in anesthesia cost (TVH, $165 vs TLH, $245) and operation cost (TVH, $30.3 vs TLH, $768) were demonstrated (P < 0.05).
Conclusion: TVH should not be abandoned for cases with a large uterus, and skilled surgeons for vaginal approach should preferentially perform TVH rather than TLH for the management of large uteruses.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2010.01185.x</identifier><identifier>PMID: 20598052</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Cost-Benefit Analysis - economics ; Female ; Humans ; Hysterectomy - economics ; Hysterectomy - methods ; Laparoscopy - economics ; Laparoscopy - methods ; large uterus ; Length of Stay - economics ; Middle Aged ; Organ Size ; total laparoscopic hysterectomy (TLH) ; total vaginal hysterectomy (TVH) ; Treatment Outcome ; Uterus - pathology ; Uterus - surgery</subject><ispartof>The journal of obstetrics and gynaecology research, 2010-06, Vol.36 (3), p.656-660</ispartof><rights>2010 The Authors. Journal compilation © 2010 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4595-8ce9b9890f83ca3ca6c63638df4beeb3a2e96e118b13fa25b2f774996b74f7283</citedby><cites>FETCH-LOGICAL-c4595-8ce9b9890f83ca3ca6c63638df4beeb3a2e96e118b13fa25b2f774996b74f7283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0756.2010.01185.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0756.2010.01185.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20598052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hong-Bae</creatorcontrib><creatorcontrib>Song, Ji-Eun</creatorcontrib><creatorcontrib>Kim, Geun-Hee</creatorcontrib><creatorcontrib>Cho, Hye-Yon</creatorcontrib><creatorcontrib>Lee, Keun-Young</creatorcontrib><title>Comparison of clinical effects between total vaginal hysterectomy and total laparoscopic hysterectomy on large uteruses over 300 grams</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Objective: To compare intra‐ and postoperative complications, operation time, and duration of hospital stay, and to evaluate cost‐effectiveness between total vaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH) groups.
Material & Methods: Patients undergoing TVH or TLH for a large uterus weighing more than 300 g were recruited from January to December 2007: 150 cases of TVH and 100 cases of TLH, were used. Evaluated variables are as follows: age, parity, previous surgical history, intra‐ and postoperative complications, hysterectomy specimen weight, operation time, duration of hospital stay and total cost. Total cost ($US) include admission, anesthesia and operation costs.
Results: There was no difference in demographics, intra‐ and postoperative complications, and uterine weight. However, operation time in TLH (mean, 179.9 min) was significantly longer than TVH (mean, 93.8 min; P < 0.05). The mean length of hospital stay was 6.13 days in TVH group and 5.78 days in TLH group, respectively (P < 0.05). TVH was more cost‐effective than TLH. There was significant difference in total cost between the two groups (TVH, mean $1815.7 vs TLH, mean $2560.5; P < 0.05). When the total cost was analyzed in detail, there was no difference in admission cost. However, the significant mean differences in anesthesia cost (TVH, $165 vs TLH, $245) and operation cost (TVH, $30.3 vs TLH, $768) were demonstrated (P < 0.05).
Conclusion: TVH should not be abandoned for cases with a large uterus, and skilled surgeons for vaginal approach should preferentially perform TVH rather than TLH for the management of large uteruses.</description><subject>Adult</subject><subject>Cost-Benefit Analysis - economics</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy - economics</subject><subject>Hysterectomy - methods</subject><subject>Laparoscopy - economics</subject><subject>Laparoscopy - methods</subject><subject>large uterus</subject><subject>Length of Stay - economics</subject><subject>Middle Aged</subject><subject>Organ Size</subject><subject>total laparoscopic hysterectomy (TLH)</subject><subject>total vaginal hysterectomy (TVH)</subject><subject>Treatment Outcome</subject><subject>Uterus - pathology</subject><subject>Uterus - surgery</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUcuO0zAUjRAj5gG_gLxjlWLHcWwvWKAKCsM8QOKxtBz3uqQkccdOZtof4Lu5mZZK7LAs3at7zzmWz8kywuiM4Xm9nrGylDmVopoVFKeUMSVm2yfZ2XHxFHteslxRWZ1m5ymtKWVSM_UsOy2o0IqK4iz7PQ_dxsYmhZ4ET1zb9I2zLQHvwQ2J1DA8APRkCANO7-2q6bH-3KUBIgJCtyO2Xx7WrUWpkFzYNO5fDKq3Nq6AjDgbEyQS7iESTilZRdul59mJt22CF4d6kX17_-7r_EN-dbv4OH97lbtSaJErB7rWSlOvuLN4K1fxiqulL2uAmtsCdAXoRc24t4WoCy9lqXVVy9LLQvGL7NVedxPD3QhpMF2THLSt7SGMyUiOcgJ9Q6TaIx3-KEXwZhObzsadYdRMIZi1mbw2k9dmCsE8hmC2SH15eGSsO1geiX9dR8CbPeChaWH338Lm8nYxdcjP9_wGLd4e-Tb-MpXkUpgfNwsjvn-6pp-_aFPyPwNfp5o</recordid><startdate>201006</startdate><enddate>201006</enddate><creator>Kim, Hong-Bae</creator><creator>Song, Ji-Eun</creator><creator>Kim, Geun-Hee</creator><creator>Cho, Hye-Yon</creator><creator>Lee, Keun-Young</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201006</creationdate><title>Comparison of clinical effects between total vaginal hysterectomy and total laparoscopic hysterectomy on large uteruses over 300 grams</title><author>Kim, Hong-Bae ; Song, Ji-Eun ; Kim, Geun-Hee ; Cho, Hye-Yon ; Lee, Keun-Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4595-8ce9b9890f83ca3ca6c63638df4beeb3a2e96e118b13fa25b2f774996b74f7283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Cost-Benefit Analysis - economics</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy - economics</topic><topic>Hysterectomy - methods</topic><topic>Laparoscopy - economics</topic><topic>Laparoscopy - methods</topic><topic>large uterus</topic><topic>Length of Stay - economics</topic><topic>Middle Aged</topic><topic>Organ Size</topic><topic>total laparoscopic hysterectomy (TLH)</topic><topic>total vaginal hysterectomy (TVH)</topic><topic>Treatment Outcome</topic><topic>Uterus - pathology</topic><topic>Uterus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hong-Bae</creatorcontrib><creatorcontrib>Song, Ji-Eun</creatorcontrib><creatorcontrib>Kim, Geun-Hee</creatorcontrib><creatorcontrib>Cho, Hye-Yon</creatorcontrib><creatorcontrib>Lee, Keun-Young</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hong-Bae</au><au>Song, Ji-Eun</au><au>Kim, Geun-Hee</au><au>Cho, Hye-Yon</au><au>Lee, Keun-Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of clinical effects between total vaginal hysterectomy and total laparoscopic hysterectomy on large uteruses over 300 grams</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2010-06</date><risdate>2010</risdate><volume>36</volume><issue>3</issue><spage>656</spage><epage>660</epage><pages>656-660</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Objective: To compare intra‐ and postoperative complications, operation time, and duration of hospital stay, and to evaluate cost‐effectiveness between total vaginal hysterectomy (TVH) and total laparoscopic hysterectomy (TLH) groups.
Material & Methods: Patients undergoing TVH or TLH for a large uterus weighing more than 300 g were recruited from January to December 2007: 150 cases of TVH and 100 cases of TLH, were used. Evaluated variables are as follows: age, parity, previous surgical history, intra‐ and postoperative complications, hysterectomy specimen weight, operation time, duration of hospital stay and total cost. Total cost ($US) include admission, anesthesia and operation costs.
Results: There was no difference in demographics, intra‐ and postoperative complications, and uterine weight. However, operation time in TLH (mean, 179.9 min) was significantly longer than TVH (mean, 93.8 min; P < 0.05). The mean length of hospital stay was 6.13 days in TVH group and 5.78 days in TLH group, respectively (P < 0.05). TVH was more cost‐effective than TLH. There was significant difference in total cost between the two groups (TVH, mean $1815.7 vs TLH, mean $2560.5; P < 0.05). When the total cost was analyzed in detail, there was no difference in admission cost. However, the significant mean differences in anesthesia cost (TVH, $165 vs TLH, $245) and operation cost (TVH, $30.3 vs TLH, $768) were demonstrated (P < 0.05).
Conclusion: TVH should not be abandoned for cases with a large uterus, and skilled surgeons for vaginal approach should preferentially perform TVH rather than TLH for the management of large uteruses.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>20598052</pmid><doi>10.1111/j.1447-0756.2010.01185.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | The journal of obstetrics and gynaecology research, 2010-06, Vol.36 (3), p.656-660 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Cost-Benefit Analysis - economics Female Humans Hysterectomy - economics Hysterectomy - methods Laparoscopy - economics Laparoscopy - methods large uterus Length of Stay - economics Middle Aged Organ Size total laparoscopic hysterectomy (TLH) total vaginal hysterectomy (TVH) Treatment Outcome Uterus - pathology Uterus - surgery |
| title | Comparison of clinical effects between total vaginal hysterectomy and total laparoscopic hysterectomy on large uteruses over 300 grams |
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