To compare operative and early postoperative outcomes of laparoscopic-assisted vaginal hysterectomy ( LAVH) and laparoscopy assisted supracervical hysterectomy (LASH) with conventional hysterectomy by laparotomy or vaginally, including patients undergoing total or subtotal hysterectomy for benign gynecologic disease. Because of multiple benefits of LAVH versus AH and no significant difference in cost, we believe LAVH is an acceptable treatment for large leiomyoma.Ĭomparison of laparoscopy-assisted hysterectomies with conventional hysterectomies.Ībdollahi, Seddigheh F Bahlouli, Abolfazl Mostafa, Parvin G Rasooli, Susan Morteza, Ghojazadeh Total hospital cost for AH was approximately 12% less expensive ($4394 vs $5023, P =. Length of stay and pain was significantly less for LAVH. Median uterine weight (513 g) was approximately 20% > for LAVH. The groups were similar in respect to age, weight, race, medical comorbidities, blood loss, and operative time. The 6 principles of cost-effectiveness analysis were used.
Hospital costs were obtained through Healthcare cost accounting system. Twenty consecutive LAVH were compared to 20 consecutive AH for leiomyoma > or = 250 g. The purpose of this study was to perform a cost-effectiveness analysis comparing the treatment of large leiomyomas by laparoscopic assisted vaginal hysterectomy ( LAVH) versus abdominal hysterectomy (AH). Mittapalli, Raja Fanning, James Flora, Robert Fenton, Bradford W Ĭost-effectiveness analysis of the treatment of large leiomyomas: laparoscopic assisted vaginal hysterectomy versus abdominal hysterectomy. you were in the hospital, you had a vaginal hysterectomy. Vaginal hysterectomy - discharge Laparoscopically assisted vaginal hysterectomy - discharge LAVH - discharge.
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