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| Comparative study of the postoperative recovery and safety of laparoscopic assisted vaginal hysterectomy and laparoscopic total hysterectomy for treating women with hysteromyoma |
| Gongli Hospital, Pudong New Area, Shanghai, 200135 |
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Abstract To compare the postoperative recovery and safety of laparoscopic assisted vaginal hysterectomy (LAVH) and laparoscopic total hysterectomy (TLH) for treating women with hysteromyoma. Methods: The clinical data of 60 women with hysteromyoma from January 2018 to May 2019 were collected retrospectively. The women were divided into group A (30 women accepted LVAH) and group B (30 women accepted TLH) according to different treatments. The operation conditions, the postoperative white blood cell (WBC) count, the neutrophil percentage value, the situation of pelvic floor function recovery, and the complications rate of the women were compared between the two groups. The women had been followed up for 6 months after operation. Results: There were no significant differences in the time of getting out of bed and hospitalization time of the women between the two groups (P＞0.05). The operative time (81.0±10.1 min) and the intraoperative blood loss (104.1±12.5 ml) of the women in group B were significant lower than those (95.2±13.3min and 137.9±17.5ml) of the women in group A, but the exhaust time (22.2±3.6h) of the women in group B was significant higher than that (16.8±2.4h) of the women in group A (P＜0.05). There were no significant differences in the WBC count and the neutrophil percentage of the women between the two groups, and the total incidence of complications (6.7% vs. 6.7%) of the women had no significant different between the two groups (P＞0.05). After 6 months followed up, there was no any woman with recurrence of hysteromyoma in both groups. Conclusion: LAVH and TLH are both minimally invasive and effective surgery for treating hysteromyoma, but THL has the advantages of shorter operation time and less bleeding compared with LAVH, and LAVH has less influence on gastrointestinal function. So, the clinical application of LAVH or TLH should integrate various factors to provide the best surgical scheme for the women with hysteromyoma.
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