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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.