Quality assurance applied to laparoscopically assisted vaginal hysterectomy: a pilot study

The aim of this quality assurance pilot study was to compare and contrast aspects of hysterectomy for benign conditions using different surgical techniques. Laparoscopically assisted vaginal hysterectomy was compared with abdominal hysterectomy in a private practice setting and was then compared with Browne and Frazer's study of vaginal hysterectomy. Laparoscopic hysterectomy was found to be more costly than abdominal hysterectomy but clients had a reduced hospital stay and earlier return to full activities. The cost of disposable instruments was a major concern and the rationale for their use is questioned. The outcomes and resource allocation implications of the alternatives are considered.