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Published on: September 12, 2025
Schedule effect and laparoscopic-assisted vaginal hysterectomy
Wei-Chun Chang1, Cheng-Chieh Lin, Lu-Min Chen
1Department of Obstetrics and Gynaecology, China Medical University and Hospital, Taichung City, Taiwan.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|October 8, 2008
Summary
The timing of laparoscopic-assisted vaginal hysterectomy (LAVH) does not impact patient outcomes or surgical success. Effective teamwork is key to achieving optimal results in LAVH procedures.
Area of Science:
- Gynecology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Surgical workload and procedure start times may influence outcomes of laparoscopic-assisted vaginal hysterectomy (LAVH).
- Investigating the impact of scheduling on LAVH is crucial for optimizing patient care.
Purpose of the Study:
- To determine if the time of day affects surgical and patient outcomes for LAVH.
- To elucidate potential detrimental effects of LAVH scheduling.
Main Methods:
- Retrospective cohort study of 217 women undergoing LAVH for gynecological diseases.
- 159 LAVH cases were analyzed, divided into groups based on operation start times.
- Outcomes including hospital stay, blood loss, and complication rates were compared using statistical tests.
Main Results:
- No statistically significant differences in outcomes were observed across different LAVH start times.
- Longer mean operation times were noted for LAVH scheduled between 08:30-10:29.
- Shorter mean operation times were associated with LAVH starting between 15:30-17:29.
Conclusions:
- The time of day for LAVH does not adversely affect surgical or patient outcomes.
- Successful LAVH relies on effective multidisciplinary team collaboration.
