Hysterectomy, Benign Uterine Diseases Clinical Trial
Official title:
Comparison of Total Laparoscopic Hysterectomy and Laparoscopic Assisted Vaginal Hysterectomy With Over Giant Uterus of Than 500g: A Randomized Controlled Trial
Since the introduction of total laparoscopic hysterectomy in 1989, laparoscopic gynecologic
surgery has undergone many advances. TLH or LAVH has the advantages of faster recovery,
fewer complications and shorter hospitalization compared to total abdominal hysterectomy.
However, the hysterectomy for giant uterus has the difficulty of delivering the uterus out
of the body. According to the results of TLH, LAVH and abdominal hysterectomy, TLH and LAVH
show the postoperative complications were less frequent (3) and the postoperative recovery
(4) and return to daily life were faster than total abdominal hysterectomy (3) even if it
took longer operation time.
Therefore, laparoscopic hysterectomy has many advantages over abdominal hysterectomy and
indications are increasing. However, there has not yet been a direct comparison between TLH
and VALH for large uterine surgery. In this study, we compared the results including the
complications, hospitalization period and so on., in undergoing operation and post-operation
between TLH and LAVH for the removal of giant uterus, which is predicted to be over 500 g.
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