caa a22 4500 477125441 CHVBK 20180405111647.0 cr unu---uuuuu 170330e19970101xx s 000 0 eng 10.1007/BF02505313 doi (NATIONALLICENCE)springer-10.1007/BF02505313 Laparoscopically assisted vaginal hysterectomy as an alternative to abdominal hysterectomy in patients with fibroids [Elektronische Daten] [A. Schneider, A. Merker, C. Martin, W. Michels, N. Krause] Objective: Introduction of laparoscopically assisted vaginal hysterectomy (LAVH) was evaluated for its usefulness to replace abdominal hysterectomy in fibroids.Study design: A total of 240 women with a mean age of 46.7 years underwent hysterectomy over a period of one year. The technique of LAVH was introduced starting in the second quarter of the study period. Clinical data of 60 patients undergoing either LAVH or abdominal hysterectomy for fibroids were compared in a cross-sectional study by χ2 and t-test.Results: A comparison between the first and the last quarter of the study period showed that the rate of abdominal hysterectomies decreased from 66% to 12%, whereas LAVH increased from 0 to 40% (p<0.05). The rate of vaginal hysterectomies remained between 34% and 48%. Compared to abdominal hysterectomy, LAVH operating time was about 1/3 longer, hospital stay was shorter (3 days), and LAVH proved more cost-effective than abdominal hysterectomy (significance of all differences: p<0.05).Conclusions: LAVH is a valid alternative to abdominal hysterectomy in fibroids. Springer-Verlag, 1997 Laparoscopically assisted vaginal hysterectomy nationallicence Abdominal hysterectomy nationallicence Fibroid uterus nationallicence Cost-effectiveness nationallicence Schneider A. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut Merker A. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut Martin C. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut Michels W. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut Krause N. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 259/2(1997-01-01), 79-85 0932-0067 259:2<79 1997 259 404 https://doi.org/10.1007/BF02505313 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02505313 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schneider A. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut NATIONALLICENCE 700 1- Merker A. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut NATIONALLICENCE 700 1- Martin C. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut NATIONALLICENCE 700 1- Michels W. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut NATIONALLICENCE 700 1- Krause N. Department of Gynecology, Friedrich Schiller University, Bachstrasse 18, D-07740, Jena, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 259/2(1997-01-01), 79-85 0932-0067 259:2<79 1997 259 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer