Rate of major complications is higher in laparoscopic than abdominal hysterectomy but quality of life improves with both procedures - 24/08/11
Abstract |
Question |
Is the risk of major complications greater following laparoscopic hysterectomy compared with abdominal and vaginal hysterectomy for non-malignant conditions?
Study design |
Two parallel, multi-centre randomised trials.
Main results |
More major complications were experienced with laparoscopic hysterectomy compared with abdominal hysterectomy (11.1% vs 6.2%; mean difference 4.9%, 95% CI 0.9% to 9.1%, number needed to harm 20). There was no significant difference in complication rates between laparoscopic and vaginal hysterectomy groups (complication rate 9.5% for both groups).
Pain scores were higher following abdominal hysterectomy compared with laparoscopic hysterectomy (mean difference 0.4, 95% CI 0.09 to 0.7). There was no detectable difference in the vaginal trial. Quality of life at 12 months improved with all interventions.
Authors’ conclusions |
Major complications were more common following laparoscopic hysterectomy compared with abdominal hysterectomy. The vaginal trial was inconclusive.
Le texte complet de cet article est disponible en PDF.Keywords : Hysterectomy, Laparoscopic surgery, Adverse events, Randomised controlled trial
Plan
 | Abstracted from: Garry R, Fountain J, Mason S, et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 2004; 328: 129-133. |
Vol 8 - N° 4
P. 232-234 - août 2004 Retour au numéro
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