Publication: Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
Issued Date
2012-01-01
Resource Type
ISSN
18793479
00207292
00207292
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2-s2.0-84355166519
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Mahidol University
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SCOPUS
Bibliographic Citation
International Journal of Gynecology and Obstetrics. Vol.116, No.2 (2012), 109-111
Suggested Citation
Amphan Chalermchockchareonkit, Putthawan Tekasakul, Pongsakdi Chaisilwattana, Korakot Sirimai, Noraziana Wahab Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis. International Journal of Gynecology and Obstetrics. Vol.116, No.2 (2012), 109-111. doi:10.1016/j.ijgo.2011.09.022 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/15071
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Title
Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
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Abstract
Objective: 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; P < 0.001). 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 [P < 0.001]; 3.5 ± 1.1 days versus 6.4 ± 3.0 days [P < 0.001]; and 18.3% versus 49.0% [P < 0.001], 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. © 2011 International Federation of Gynecology and Obstetrics.