Two kinds of laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy clinical comparison

Objective: Comparison of two laparoscopic assisted vaginal hysterectomy(LAVHa and LAVHb) and vaginal hysterectomy(TVH) characteristics. Methods: Retrospective analysis from February 2006 to January 2010 in our hospital during the hysterectomy clinical data of 173 patients included LAVHa 55, LAVHb 58, TVH 60. Results: Patients in each group were uterine fibroids,adenomyosis as the main cause,the patients with an average of three times the difference was not statistically significant(P0.05),but in LAVHa patients,the average blood loss was significantly less than the TVH group and LAVHb group(P0.05).LAVHa volume of hysterectomy patients was significantly higher than the other two groups( P 0.05).Surgical complications of urinary tract injury rate was 3.64% in LAVHa group,slightly higher than LAVHb and TVH groups. Carry out laparoscopic surgery occurred in the early stage, overall complications less than the other two groups. Conclusion: Removal of the uterus in patients of LAVHa are larger, and does not affect the operation time,less blood loss, fewer overall complications.