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Table 5 Summary of published studies assessing minilaparotomy approach for total hysterectomy.

From: The value of minilaparotomy for total hysterectomy for benign uterine disease: A comparative study with conventional Pfannenstiel and laparoscopic approaches

  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)
  1. * 14.6% were STAH.
  2. Expressed as median value.
  3. Expressed as volume (cm3).
  4. Expressed as ml.