Comparative Study of Laparoscopically Assisted Vaginal Hysterectomy (LAVH) and Total Laparoscopic Hysterectomy (TLH).

Objective: To compare the clinical results between laparoscopically assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH), and to realize the merits and demerits of both operations, so we know which pelviscopic hysterectomy operation is better method at the present time. Methods: 30 of LAVH cases and 30 of TLH cases were performed from 12 December 2002 to 25 February 2004 at department of OB&GY, Dankook University Hospital. We analyzed the results with regard to patient's characteristics, indication of hysterectomy, size of uterus, operation time, blood loss, duration of hospitalization and complications. Results: LAVH operations, and TLH operations were performed by same operator respectively. There were no significant differences in patient’s characteristics (age, height, weight) between the two groups. The main preoperative indication was myoma uteri in both groups, followed by CINIII in LAVH groups and adenomyosis in TLH groups. The majority of uterine size on operation field was adult fist size in both groups. The mean operation time was 86.319.5 min for LAVH group and 153.344.4 min for TLH group, the operation time is significantly longer in TLH group (P-value92.9 mL for LAVH, 268119.2 mL for TLH, P-value>0.05). The duration of hospitalization was not significantly different between the two groups (6.10.4 days for LAVH, 6.20.8 days for TLH, P-value>0.05). There is no complication in LAVH group, 3 complications in TLH group. Conclusion: LAVH has no significant differences in patient's characteristics, indication of operation, size of uterus, blood loss and duration of hospitalization, compared with TLH, but it has the merits of short operation time and less complication. In this study we consider that LAVH operation method stands at advantage over TLH.