Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis

To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of...

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Main Authors:	Chalermchockchareonkit, Amphan, Tekasakul, Putthawan, Chaisilwattana, Pongsakdi, Sirimai, Korakot, Abd. Wahab, Noraziana
Format:	Article
Language:	English
Published:	Elsevier BV 2012
Subjects:	RG Gynecology and obstetrics
Online Access:	http://irep.iium.edu.my/11543/ http://irep.iium.edu.my/11543/ http://irep.iium.edu.my/11543/ http://irep.iium.edu.my/11543/1/Laparoscopic_hysterectomy_versus_abdominal_hysterectomy_for_severe_pelvic_endometriosis.pdf

id	iium-11543
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spelling	iium-115432012-01-13T03:37:37Z http://irep.iium.edu.my/11543/ Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana RG Gynecology and obstetrics To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of 503 patients had severe pelvic endometriosis; of these, 115 patients underwent LH and 388 patients underwent AH. Surgical outcomes—including operative time, blood loss, length of hospital stay, and need for blood transfusion—were analyzed and compared between the 2 treatment groups. Results: Operative time was significantly longer for LH than for AH (185.1±48.7 minutes and 139.9±52.4 minutes, respectively; Pb0.001). However, estimated volume of blood loss, length of hospital stay, and complication rates were significantly less for patients in the LH group than for those in the AH group (302.6±255.1 mL versus 760.9±633.2 mL [Pb0.001]; 3.5±1.1 days versus 6.4±3.0 days [Pb0.001]; and 18.3% versus 49.0% [Pb0.001], respectively). Conclusion: Compared with AH, LH was associated with fewer complications. LH should, therefore, be the preferred surgical option for women with severe pelvic endometriosis who require a hysterectomy. Elsevier BV 2012-02 Article PeerReviewed application/pdf en http://irep.iium.edu.my/11543/1/Laparoscopic_hysterectomy_versus_abdominal_hysterectomy_for_severe_pelvic_endometriosis.pdf Chalermchockchareonkit, Amphan and Tekasakul, Putthawan and Chaisilwattana, Pongsakdi and Sirimai, Korakot and Abd. Wahab, Noraziana (2012) Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis. International Journal of Gynecology and Obstetrics, 116 (2). pp. 109-111. ISSN 0020-7292 http://www.sciencedirect.com/science/article/pii/S002072921100556X 10.1016/j.ijog.2011.09.022
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RG Gynecology and obstetrics
spellingShingle	RG Gynecology and obstetrics Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
description	To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of 503 patients had severe pelvic endometriosis; of these, 115 patients underwent LH and 388 patients underwent AH. Surgical outcomes—including operative time, blood loss, length of hospital stay, and need for blood transfusion—were analyzed and compared between the 2 treatment groups. Results: Operative time was significantly longer for LH than for AH (185.1±48.7 minutes and 139.9±52.4 minutes, respectively; Pb0.001). However, estimated volume of blood loss, length of hospital stay, and complication rates were significantly less for patients in the LH group than for those in the AH group (302.6±255.1 mL versus 760.9±633.2 mL [Pb0.001]; 3.5±1.1 days versus 6.4±3.0 days [Pb0.001]; and 18.3% versus 49.0% [Pb0.001], respectively). Conclusion: Compared with AH, LH was associated with fewer complications. LH should, therefore, be the preferred surgical option for women with severe pelvic endometriosis who require a hysterectomy.
format	Article
author	Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana
author_facet	Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana
author_sort	Chalermchockchareonkit, Amphan
title	Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
title_short	Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
title_full	Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
title_fullStr	Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
title_full_unstemmed	Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
title_sort	laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
publisher	Elsevier BV
publishDate	2012
url	http://irep.iium.edu.my/11543/ http://irep.iium.edu.my/11543/ http://irep.iium.edu.my/11543/ http://irep.iium.edu.my/11543/1/Laparoscopic_hysterectomy_versus_abdominal_hysterectomy_for_severe_pelvic_endometriosis.pdf
first_indexed	2023-09-18T20:20:51Z
last_indexed	2023-09-18T20:20:51Z
_version_	1777408096394543104

Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis

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