Objective:To compare the intraoperative condition and short-term outcomes of vaginal hysterectomy(VH) and laparoscopic assisted vaginal hysterectomy(LAVH) for enlarged myomatous uterus. Methods:Fifty patients from Peking Union Medical College Hospital(PUMCH) were randomly assigned to two treatment groups:VH(n= 23) and LAVH(n= 27).All procedures were performed by a single senior surgeon to maintain homogeneity. Results:The baseline characteristics of the two groups were comparable.The operative time for LAVH was significantly longer than for VH(76.7±23.2 vs.57.6±23.5 min,P<0.05),and LAVH costs more money than VH(6,923.07±622.96 vs.5,974.46±1,408.08 RMB,P<0.05).Major complications,uterine weight and the length of hospital stay were comparable between VH and LAVH group.One case of VH was converted to LAVH due to adhesion. Conclusions:Compared with LAVH,VH is a time- and cost-saving operative technique for enlarged myomatous uterus.VH should be the primary method for uterine removal,but LAVH may have advantages when adhesion is present.
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机译:A Study on Pre-Induction Cervical Ripening with PGE2 Vaginal Tablet One (3 mg) vs. Half (1.5 mg) in Low Risk Multi Parous Mothers at 40 Weeks of Gestation
机译:The Elected Single Vitrified Blastocyst Transfer on Hormone Replacement Therapy Induced Endometrium Using a New Trans-Vaginal Ultrasound-Guided Pinpoint Transfer Method