Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-26T13:09:04.090Z Has data issue: false hasContentIssue false

Laparoscopically Assisted Vaginal Hysterectomy: A Review of Current Issues

Published online by Cambridge University Press:  10 March 2009

Wendy Young
Affiliation:
The Institute for Clinical Evaluative Sciences
Marsha M. Cohen
Affiliation:
University of Toronto

Abstract

A review of 39 articles found no consensus on indication for laparoscopic assisted vaginal hysterectomy (LAVH) compared with traditional approaches. Since only three randomized trials comparing LAVH with traditional methods exist, the scientific basis for surgical choice is lacking. Uncontrolled studies indicated that outcomes following LAVH were not superior to vaginal hysterectomy and costs were significantly higher.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Adamson, D. A.A hospital review of advanced gynecologic endoscopic procedures [letter]. American Journal of Obstetrics and Gynecology, 1994, 170, 1641–42.Google Scholar
2.Alfirevic, Z., & Neilson, J. P.Laparoscopic vaginal hysterectomy versus abdominal hysterectomy [letter]. British Journal of Obstetrics & Gynecology, 1995, 102, 511.CrossRefGoogle ScholarPubMed
3.Anonymous. ACOG committee opinion: Laparoscopically assisted vaginal hysterectomy. Number 146, November 1994. Committee on Gynecologic Practice, American College of Obstetricians and Gynecologists. International Journal of Gynaecology and Obstetrics, 1995, 48, 244.Google Scholar
4.Arbogast, J. D., Welch, R. A., Riza, E. D., et al. Laparoscopically assisted vaginal hysterectomy appears to be an alternative to total abdominal hysterectomy. Journal of Laparoendoscopic Surgery, 1994, 4, 185–90.CrossRefGoogle ScholarPubMed
5.Benrubi, G. I.History of hysterectomy. Journalof the Florida Medical Association, 1988, 75, 533.Google ScholarPubMed
6.Boike, G. M., Elfstrand, E. P., DelPriore, G., et al. Laparoscopically assisted vaginal hysterectomy in a university hospital: Report of 82 cases and comparison with abdominal and vaginal hysterectomy. American Journal of Obstetrics and Gynecology, 1993, 06, 1690–701.CrossRefGoogle Scholar
7.Bornstein, S. J., & Shaber, R. E.Laparoscopically assisted vaginal hysterectomy at a health maintenance organization: Cost-effectiveness and comparison with total abdominal hysterectomy. Journal of Reproductive Medicine, 1995, 40, 435–38.Google Scholar
8.Boyd, M. E., & Groome, P. A.The morbidity of abdominal hysterectomy. Canadian Journal of Surgery, 1993, 36, 155–59.Google ScholarPubMed
9.Browne, D. S., & Frazer, M. I.Hysterectomy revisited. Australian and New Zealand Journal of Obstetrics and Gynaecology, 1991, 31, 148–52.CrossRefGoogle ScholarPubMed
10.Caillouette, J.A hospital review of advanced gynecologic endoscopic procedures [letter]. American Journal of Obstetrics and Gynecology, 1994, 170, 1641.Google Scholar
11.Calandra, C.Laparoscopically-assisted vaginal hysterectomy. Australian and New Zealand Journal of Obstetrics and Gynaecology, 1995, 35, 7882.CrossRefGoogle ScholarPubMed
12.Canis, M., Mage, G., Chapron, C., et al. Laparascopic hysterectomy: A preliminary study. Surgical Endoscopy, 1993, 7, 4245.CrossRefGoogle Scholar
13.Chapron, C., Dubuisson, J. B., & Aubert, V. Laparoscopic hysterectomy: It is not such an expensive surgical procedure [letter]. American Journal of Obstetrics and Gynecology, 1994, 170.CrossRefGoogle Scholar
14.Cohen, M. M., Young, W., Theriault, M., et al. Has laparoscopic cholecystectomy changed patterns of practice and patient outcome in Ontario? Canadian Medical Association Journal, 1996, 154, 491500.Google ScholarPubMed
15.Daniell, J. F., Kurtz, B. R., McTavish, G., et al. Laparoscopically assisted vaginal hysterectomy. Journal of Reproductive Medicine, 1993, 38, 537–42.Google ScholarPubMed
16.Davis, G. D., Wolgamott, G., & Moon, J.Laparoscopically assisted vaginal hysterectomy as definitive therapy for state III and IV endometriosis. Journalof Reproductive Medicine, 1993, 38, 577–81.Google Scholar
17.Deprest, J. A., Cusumano, P. G., Donnez, J., et al. 1992 results of the Belcohyst register on laparoscopic hysterectomy. In Cusumano, P. G. & Deprest, J. A. (eds.), Advanced gynecologic laparoscopy: A practical guide. New York: Parthenon Publishing Group Inc., 1996, 8598.Google Scholar
18.Dicker, R. C., Greenspan, J. R., Strauss, L. T., et al. Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. American Journal of Obstetrics and Gynecology, 1982, 12 1, 841–48.CrossRefGoogle Scholar
19.East, M.Comparative costs of laparoscopically assisted vaginal hysterectomy. New Zealand Medical Journal, 1994, 107, 371–74.Google ScholarPubMed
20.Easterday, C. L., Grimes, D. A., & Riggs, J. A.Hysterectomy in the United States. Obstetrics and Gynecology, 1983, 62, 203212.Google ScholarPubMed
21.Escarce, J. J., Bloom, B. S., Hillman, A. L., et al. Diffusion of laparoscopic cholecystectomy among general surgeons in the United States. Medical Care, 1995, 33, 256–71.CrossRefGoogle ScholarPubMed
22.Fedorkow, D. M., & Kalbfleisch, R. E.Total abdominal hysterectomy at abdominal sacrovaginopexy: A comparative study. American Journal of Obstetrics and Gynecology, 1993, 169, 641–43.CrossRefGoogle ScholarPubMed
23.Garcia-Padial, J., Osborne, N., Sotolongo, J., et al. Laparoscopy-assisted vaginal hysterectomy compared with abdominal hysterectomy. Journal of the National Medical Association, 1995, 87, 288290.Google ScholarPubMed
24.Garry, R, & Hercz, P.Initial experience with laparoscopic-assisted Doderlein hysterectomy. British Journal of Obstetrics and Gynaecology, 1995, 102, 307–10.CrossRefGoogle ScholarPubMed
25.Gomel, V.From microsurgery to laparoscopic surgery: A progress. Fertility and Sterility, 1995, 63, 464–68.CrossRefGoogle ScholarPubMed
26.Hall, R. E., & Cohen, M. M.Why are hysterectomy rates declining? Journal of Women's Health, 1994, 3, 297308.CrossRefGoogle Scholar
27.Harkki-Siren, P., & Sjoberg, J.Evaluation and the learning curve of the first one hundred laparoscopic hysterectomies. Acta Obstetricia et Gynecologica Scandinavica, 1995, 74, 638–41.CrossRefGoogle ScholarPubMed
28.Harris, M. B., & Olive, D. L.Changing hysterectomy patterns after introduction of laparoscopically assisted vaginal hysterectomy. American Journal of Obstetrics and Gynecology, 1994, 171, 340–43.CrossRefGoogle ScholarPubMed
29.Hill, B., & Gudgeon, C. W.Laparoscopic hysterectomy: A series of 100 cases. Medical Journal of Australia, 1994, 160, 240.CrossRefGoogle ScholarPubMed
30.Hirsch, N., & Hailey, D.The evolution of laparoscopic surgery in routine health care. International Journal of Technology Assessment in Health Care, 1995, 11, 779–85.CrossRefGoogle ScholarPubMed
31.Hulka, J. F., & Reich, H. (eds.). Laparoscopic hysterectomy. Textbook of laparoscopy. Philadelphia: W.B. Saunders Company, 1994, 259–64.Google Scholar
32.Hunter, R. W., & McCartney, A. J.Can laparoscopic assisted hysterectomy safely replace abdominal hysterectomy? British Journal of Obstetrics and Gynecology, 1993, 100, 932–34.CrossRefGoogle ScholarPubMed
33.Jackson, S., Draycott, T., & Read, M.Laparoscopic vaginal hysterectomy versus abdominal hysterectomy. British Journal of Obstetrics & Gynecology, 1995, 102, 511.CrossRefGoogle ScholarPubMed
34.Johns, D. A., Carrera, B., Jones, J., et al. The medical and economic impact of laparoscopically assisted vaginal hysterectomy in a large, metropolitan, not-for-profit hospital. American Journal of Obstetrics and Gynecology, 1995, 172, 1709–15.CrossRefGoogle Scholar
35.Johns, D. A., & Diamond, M. P.Laparoscopically assisted vaginal hysterectomy. Journal of Reproductive Medicine, 1994, 39, 424–28.Google ScholarPubMed
36.Jones, I. S., & Lapsley, H. M.Quality assurance applied to laparoscopically assisted vaginal hysterectomy: A pilot study. Journal of Quality in Clinical Practice, 1994, 14, 121–29.Google ScholarPubMed
37.Jones, R. A.Laparoscopic hysterectomy: A series of 100 cases. Medical Journal of Australia, 1993, 159, 447–49.CrossRefGoogle ScholarPubMed
38.Kishiue, R. M.Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting [letter]. Obstetrics and Gynecology, 1993, 81, 801.Google Scholar
39.Kovac, S. R.Guidelines to determine the route of hysterectomy. Obstetrics and Gynecology, 1995, 85, 1823.CrossRefGoogle ScholarPubMed
40.Kovac, S. R., Christie, S. J., & Bindbeutel, G. A.Abdominal versus vaginal hysterectomy: A statistical model for determining physician decision making and patient outcome. Medical Decision Making, 1991, 11, 1928.CrossRefGoogle ScholarPubMed
41.Kovac, S. R., Cruikshank, S. H., & Retto, H. F.Laparoscopy-assisted vaginal hysterectomy. Journal of Gynecologic Surgery, 1990, 6, 185–93.CrossRefGoogle ScholarPubMed
42.Lee, C-L, & Soong, Y-K.Laparoscopic hysterectomy: Preliminary report of 24 cases. Journal of the Formosan Medical Association, 1992, 91, 712–15.Google ScholarPubMed
43.Lee, C. L., & Soong, Y. K.Laparoscopic hysterectomy with the Endo GIA 30 stapler. Journal of Reproductive Medicine, 1993, 38, 582–86.Google ScholarPubMed
44.Liu, C. Y. Complications of laparoscopic hysterectomy: Prevention, recognition, and management. In Corfman, R. S., Diamond, M. P., & Decherney, A. H. (eds.), Complications of laparoscopy and hysteroscopy. Boston: Blackwell Scientific Publications, 1993, 160–66.Google Scholar
45.Loft, A., Andersen, T. F., Bronnum-Hansen, H., et al. Early postoperative mortality following hysterectomy: A Danish population based study, 1977–1981. British Journal of Obstetrics and Gynaecology, 1991, 98, 147–54.CrossRefGoogle ScholarPubMed
46.Loh, F. H., Canis, M., & Ng, S. C.Laparoscopic hysterectomy: A step forward? Singapore Medical Journal, 1995, 36, 197203.Google ScholarPubMed
47.Lyons, T. L.Laparoscopic supracervical hysterectomy. Journal of Reproductive Medicine, 1993, 38, 763–67.Google ScholarPubMed
48.Mage, G., Wattiez, A., Canis, M., et al. Hysteroscopie per coelioscopique. Gynecologic Obstetrique, 1993, 1, 126–35.Google Scholar
49.Mage, G., Wattiez, A., Chapron, C., et al. Hysterectomie percoelioscopique: Resultats d'une serie de 44 cas. Journal de la Gynecologie Obstetrique et Biologie de la Réproduction, 1992, 21, 436–44.Google Scholar
50.Messina, M. J., Garavaglia, M. M., Walsh, R. T., et al. Laparoscopy-assisted vaginal hysterectomy: Cost analysis and review of initial experience in a community hospital. Journal of the American Osteopathic Association, 1995, 95, 3136.Google Scholar
51.Nathorst-Boos, J., Fuchs, T., & von Schoultz, B.Consumer's attitude to hysterectomy: The experience of 678 women. Acta Obstetricia et Gynecologica Scandinavica, 1992, 71, 230234.CrossRefGoogle ScholarPubMed
52.New York State Department of Health. Hysterectomies in New York State: A statistical profile. New York: Information Systems and Health Statistics Group, 1988.Google Scholar
53.Nezhat, C., Bess, O., Admon, D., et al. Hospital cost comparison between abdominal, vaginal, and laparoscopy-assisted vaginal hysterectomies. Obstetrics and Gynecology, 1994, 83, 713–16.Google ScholarPubMed
54.Nezhat, F., Nezhat, C. H., Admon, D., et al. Complications and results of 361 hysterectomies performed at laparoscopy. Journal of the American College of Surgeons, 1995, 180, 307–16.Google ScholarPubMed
55.Nezhat, F., Nezhat, C., Gordon, S., et al. Laparoscopic versus abdominal hysterectomy. Journal of Reproductive Medicine, 1992, 37, 247–50.Google ScholarPubMed
56.Ng, P. H., & Hogston, P.Early discharge following major gynaecological surgery. Australian and New Zealand Journal of Obstetrics and Gynecology, 1994, 34, 474–76.CrossRefGoogle ScholarPubMed
57.Ou, C. S., Beadle, E., Presthus, J., et al. A multicenter review of 839 laparoscopic-assisted vaginal hysterectomies. Journal of the American Association of Gynecologic Laparoscopists, 1994, 1, 417–22.CrossRefGoogle ScholarPubMed
58.Padial, J. G., Sotolongo, J., Casey, M. J., et al. Laparoscopy-assisted vaginal hysterectomy: Report of seventy-five consecutive cases. Journal of Gynecologic Surgery, 1992, 8, 8185.CrossRefGoogle Scholar
59.Pelosi, M. A.Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting [letter]. Obstetrics and Gynecology, 1993, 81, 800–01.Google Scholar
60.Phipps, J. H., John, M., & Nayak, S.Comparison of laparoscopically assisted vaginal hysterectomy and bilateral salpingo-ophorectomy with conventional abdominal hysterectomy and bilateral salpingo-ophorectomy. British Journal of Obstetrics and Gynecology 1993, 100, 698700.CrossRefGoogle Scholar
61.Puls, L. E., & Henderson, R. C.Small bowel herniation after laparoscopically assisted vaginal hysterectomy. Acta Obstetricia et Gynecologica Scandinavica, 1995, 74, 307–09.CrossRefGoogle ScholarPubMed
62.Railton, P., Kurylko, L., & Shah, C. M.Laparoscopic assisted vaginal hysterectomy. Canadian Operating Room Nursing Journal, 1994, 12, 1923.Google ScholarPubMed
63.Raju, K. S., & Auld, B. J.A randomized prospective study of laparoscopic vaginal hysterectomy versus abdominal hysterectomy each with bilateral salpingo-ophorectomy. British Journal of Obstetrics and Gynaecology, 1994, 101, 1068–71.CrossRefGoogle Scholar
64.Reich, H. Laparoscopic hysterectomy. In Sutton, C. J. G. (ed.), New surgical techniques in gynaecology. New York: The Parthenon Publishing Group, 1992, 9199.Google Scholar
65.Reich, H.Laparoscopic hysterectomy. Surgical Laparoscopy and Endoscopy, 1992, 2, 8588.Google ScholarPubMed
66.Richardson, R. E., Bournas, N., & Magos, A. L.Is laparoscopic hysterectomy a waste of time? Lancet, 1995, 345, 3641.CrossRefGoogle ScholarPubMed
67.Rosemann, G. W. E.Medical costs of laparoscopic surgery: The most expensive hysterectomy [letter]. South African Medical Journal, 1994, 84, 294.Google ScholarPubMed
68.Saleh, W. A., & Nezhat, C.Laparoscopically-assisted hysterectomy. Western Journal of Medicine, 1994, 161, 163–64.Google ScholarPubMed
69.Saye, W. B., Espy, G. B., Bishop, M. R., et al. Laparoscopic doderlein hysterectomy: A rational alternative to traditional abdominal hysterectomy. Surgical Laparoscopy and Endoscopy, 1993, 3, 8894.Google ScholarPubMed
70.Schwartz, R. O.Complications of laparoscopic hysterectomy. Obstetrics and Gynecology, 1993, 81, 1022–24.Google ScholarPubMed
71.Schwartz, R. O.Laparoscopic hysterectomy: Supracervical vs. assisted vaginal. Journal of Reproductive Medicine, 1994, 39, 625–30.Google ScholarPubMed
72.Smith, D. C., Donohue, L. R., & Waszak, S. J.A hospital review of advanced gynecologic endoscopic procedures. American Journal of Obstetrics and Gynecology, 1994, 170, 1635–40.CrossRefGoogle ScholarPubMed
73.Society of Obstetricians and Gynaecologists of Canada. Policy statement on hysterectomy, #47. Society of Obstetricians and Gynaecologists of Canada, 1996, 04, 120.Google Scholar
74.Stumpf, P. G., Ballard, C. A., & Lowensohn, R.Abdominal hysterectomy for abortion sterilization. American Journal of Obstetrics and Gynecology, 1980, 136, 714–20.CrossRefGoogle ScholarPubMed
75.Summitt, R. L. Jr., Stovall, T. G., Lipscomb, G. H., et al. Randomized comparison of laparoscopy-assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient setting. Obstetrics and Gynecology, 1992, 80, 895901.Google Scholar
76.Tindall, V. R.The national confidential enquiry into perioperative deaths. British Journal of Obstetrics and Gynaecology, 1994, 101, 468–70.CrossRefGoogle ScholarPubMed
77.White, S. C., Wartel, L. J., & Wade, M. E.Comparison of abdominal and vaginal hysterectomies: A review of 600 operations. Obstetrics and Gynecology, 1971, 37, 530–37.Google ScholarPubMed