Abstract
Background: The abdominal route is the traditional method of performing hysterectomy with bilateral salpingo-oophorectomy. In a feasibility study, we compared a nonconventional (vaginal) route for bilateral salpingo-oophorectomy at the time of vaginal hysterectomy (VH + BSO) to similar forms of hysterectomy performed abdominally or with operative laparoscopy.
Methods: Fifty-nine patients were subject to either total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH + BSO; n= 19), or laparoscopic-assisted vaginal hysterectomy and bilateral salpingo-oophorectomy (LAVH + BSO; n= 19) or VH + BSO (n= 21).
Results: VH + BSO resulted in a shorter operating time compared to LAVH + BSO (p < 0.001), shorter hospital stay compared with TAH + BSO (p= 0.001), and quicker long-term recovery compared to the other two operations.
Conclusion: This preliminary but significant study shows that the vaginal route for salpingo-oophorectomy at the time of vaginal hysterectomy is superior to other methods of hysterectomy. A randomized trial is needed to confirm these initial findings.
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Received: 20 February 1998/Accepted: 18 August 1998
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Nwosu, C., Gupta, J. Abdominal, laparoscopic, and vaginal hysterectomy with bilateral salpingo-oophorectomy. Surg Endosc 13, 148–150 (1999). https://doi.org/10.1007/s004649900926
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DOI: https://doi.org/10.1007/s004649900926