GG-22 : Comparative study of Laparoscopic assisted vaginal supracervical hysterectomy and Laparoscopid assisted vaginal hysterectomy

The aim of this retrospective study was to evaluate the efficacy and safety of laparoscopic assisted vaginal supracervical hysterectomy for treatment of uterine myoma and/or adenomyosis patients to compare perioperative results of laparoscopic assiated vaginal supracervical hysterectomy with those of laparoscopic assisted vaginal hysterectomy. We reviewed our 4-years experience with laparoscopic assiated vaginal supracervical hysterectomy performed at Gospel Hospital Kosin University, Busan, Korea between December 2008 and June 2012. A group of 38 patients of uterine myoma and/or adenomyosis who underwent laparoscopic assiated vaginal supracervical hysterectomy was compared with a group of 40 patients who underwent laparoscopic assisted vaginal hysterectomy. The similarities of patient characteristics were analyzed with t-test, X2-testor Fisher` sexacttest. Surgical characteristics and complications wereanalyzed with ANCOVA (analysis of covariance), Logistic regression analysis. Spearman correlation coefficient were used for correlation analysis. Patients characteristics undergoing laparoscopic assiated vaginal supracervical hysterectomy showed lower BMI (22.53 kg/m2 vs 24.43 kg/m2, p=0.0084) and less prior surgery history (7 vs 17, p=0.0213). Surgical chatacteristics undergoing laparoscopic assiated vaginal supracervical hysterectomy showed significantly shorter hospital stays (7.03 days vs 9.20 days, p=0.0015), less blood loss (397.40 ml vs 596.30 ml, p=0.0057) and lighter uterus weight (183.90gm vs 278.00 gm, p=0.0010). Surgical chatacteristics showed shorter hospital stays and less blood loss in laparoscopic assiated vaginal supracervical hysterectomy group than laparoscopic assisted vaginal hysterectomy group. There are no major post-operative complications in both laparoscopic assiated vaginal supracervical hysterectomy and laparoscopic assisted vaginal hysterectomy groups. Based on our results, laparoscopic assisted vaginal supracervical hysterectomy proved to be a useful method for treatment of uterine myoma and/or adenomyosis patients who wants to preserve cervix of uterus, not in the case of huge size myoma and severe adhesion.