OBJECTIVES To determine the safety, cost effectiveness and effect on quality of life of laparoscopic-assisted vaginal hysterectomy (LAVH) compared with total abdominal hysterectomy (TAH) in the management of benign gynaecological disease. DESIGN Randomised controlled trial and economic evaluation. SETTING Three hospitals in the West of Scotland. PARTICIPANTS Two hundred women scheduled fo...

PURPOSE This study was designed to evaluate the risk on development and persistence of constipation after hysterectomy. METHODS We conducted a prospective, observational, multicenter study with three-year follow-up in 13 teaching and nonteaching hospitals in The Netherlands. A total of 413 females who underwent hysterectomy for benign disease other than symptomatic uterine prolapse were inclu...

OBJECTIVE This study compares the operative parameters of laparoscopic supracervical hysterectomy, laparoscopically assisted vaginal hysterectomy, total vaginal hysterectomy, and total abdominal hysterectomy in patients in a small suburban medical center. METHODS This investigation is a Canadian Classification II-2. It was performed in a 238 bed not-for-profit community general hospital. Char...

Minimally invasive hysterectomy is a standard procedure. Different approaches, as laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy, and subtotal and total laparoscopic hysterectomy, have been described and evaluated by various investigations as safe and cost-effective methods. In particular, in comparison to abdominal hysterectomy, the minimally invasive methods have undoubt...

OBJECTIVE To assess hysterectomy rates, type of hysterectomy, and other factors associated within the United States from 1990-1997. METHODS A descriptive statistical analysis of national discharge data was undertaken. Data from the nationwide Inpatient Sample of the Healthcare Cost and Utilization Project (from which national estimates are generated based on a 20% stratified sample of US comm...

OBJECTIVE To determine whether the day-by-day postoperative recovery differs between women undergoing subtotal and total abdominal hysterectomy, and to analyse factors associated with postoperative recovery and sick leave. DESIGN A prospective, open, randomised multicentre trial. SETTING Seven hospitals and one private clinic in the south-east of Sweden. POPULATION Two-hundred women sched...