Laparoscopic hysterectomy.

Cost Analysis When Open Surgeons Perform Minimally Invasive Hysterectomy

BACKGROUND AND OBJECTIVE The costs to perform a hysterectomy are widely variable. Our objective was to determine hysterectomy costs by route and whether traditionally open surgeons lower costs when performing laparoscopy versus robotics. METHODS Hysterectomy costs including subcategories were collected from 2011 to 2013. Costs were skewed, so 2 statistical transformations were performed. Cost...

The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy.

OBJECTIVE To compare the effects of laparoscopic hysterectomy and abdominal hysterectomy in the abdominal trial, and laparoscopic hysterectomy and vaginal hysterectomy in the vaginal trial. DESIGN Two parallel, multicentre, randomised trials. SETTING 28 UK centres and two South African centres. PARTICIPANTS 1380 women were recruited; 1346 had surgery; 937 were followed up at one year. Pri...

Total Laparoscopic Hysterectomy for Uteri Over One Kilogram

INTRODUCTION Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight. MATERIALS AND METHODS An intent-to-treat study. RESULTS From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing >1000 g. Four patients had total abdomi...

Laparoscopic hysterectomy in benign gynaecological conditions Outcomes after total laparoscopic hysterectomy and laparoscopic supracervical hysterectomy, a comparison of surgical procedures

Complications of Laparoscopic Hysterectomy: Avoid the Risks

Results of more than 1500 laparoscopic hysterectomies have been reported since 1989. The complication rate is 10 to 11% in expert hands. However, a complication rate of 60% was reported in one community hospital series. The risks of laparoscopic hysterectomy are acceptable at 10% but not at 60%. Practitioners of laparoscopic assisted vaginal hysterectomy must review and understand the risks ass...

Comparison of laparoscopic-assisted vaginal hysterectomy with traditional hysterectomy for cost-effectiveness to employers.

OBJECTIVE The purpose of this study was to compare the cost-effectiveness of laparoscopic-assisted vaginal hysterectomy to traditional total abdominal hysterectomy and total vaginal hysterectomy with regard not only to direct hospital costs but also to indirect costs. STUDY DESIGN This was a combined retrospective cohort study (Canadian Task Force classification II-2) that was conducted in a ...