Table 5.
Summary of published studies assessing minilaparotomy approach for total hysterectomy.
| Hoffman&Lynch9 | Panicci1 | Sharma8 | Fanfani11 | Alcalde3 | Muzii12 | Present series | |
| Study period | 1996–1997 | 1995–2001 | 1998–2002 | 1997–2003 | 2002–2005 | 2005 | 2004–2006 |
| Study design | Retrospective | Prospective | Prospective non-randomized | Retrospective | Retrospective | Prospective randomized multicenter trial | Retrospective |
| Comparison groups | L, V, LAVH | L | L | - | - | L, LAVH | L, LH |
|
N Minilaparotomy/Total |
26/250 | 118/148 | 100/200 | 67 | 150 | 41/82 | 81/165 |
|
Mean age (years) |
54 (28–84) |
47 (38–75) |
31.9 (32–50) |
39.2 (26–52.4) |
45 (45.3–47.7) |
48(41–61) | 50 (90–40) |
|
Body mass Index (kg/m2) |
??? | 25 (18–45) |
??? | 23.6 (20.2–26.9) |
24 (23.4–24.5) |
??? | 25.05 (44.4–16.4) |
|
Minilap. size (cm) |
5–6 | 6–10 | <6 | 4–9 | <6 | 5–9 | <6 |
| Self-retaning retractor | No | Yes | No | Yes | Yes | No | Yes |
| Only bening conditions | No | Yes | Yes | Yes | No | Yes | Yes |
| TAH +/- BSO | Yes | Yes | Yes | Yes | No* | Yes | Yes |
| Mean operative time (min) | 84 (45–125) |
50 (34–88) |
41 (30–90) |
84.9 (53.1–116.7) |
70 (63.1–70.7) |
58 (45–75) |
73.4 (67.8–78.9) |
| Mean day of discharge | 3.4 (2–8)† |
3 (2–5) |
4.3 (3–8) |
3.11 (2.3–3.8) |
2.5 (2.4–2.6) |
3 (1–5)† |
3.8 (3.6–4.1)† |
|
Mean uterus weight (gr) |
123 (19–275) |
285 (148–482)† |
??? | ??? | 131.9 (113.9–149.8) |
345 (180–600)† |
251.8‡ (1204–5.27)† |
|
Postoperative bleeding (gr/dl) |
173 (75–500)≈ |
< 1.5 | 240≈ | ??? | ??? | 1.4 (0.2–2.1) |
2.1 (5–0.1) |
* 14.6% were STAH.
† Expressed as median value.
‡ Expressed as volume (cm3).
≈ Expressed as ml.