Table 2 Interoperative results selleck expressed as mean �� SD and number (%). Table 3 presents the postoperative results until hospital discharge. At D3, 7 patients had left hospital in the VH group (20%) and 23 in the RH group (40%). No postoperative complications were reported in the VH group while 1 occurred in one RH patient: an abscess of Douglas pouch occurring 10 days after surgery and necessitating antibiotherapy along with a 5-day hospital stay without surgical reintervention. Table 3 Postoperative results expressed as mean �� SD and number (%). The results obtained by the questionnaire completed 2 months after surgery are displayed in Table 4. In the VH group 28 questionnaires (82%) have been completed and 41 (70%) in the RH one. No difference was observed between the two groups regarding sexual life.

In the VH group, among the 16 patients reporting a sexual activity before and after surgery, 8 evaluated it as unchanged, 4 worsened, and 4 improved. In the RH group, among the 20 patients reporting a sexual activity before and after surgery, 16 evaluated it as unchanged, 1 worsened, and 3 improved. Table 4 Results of the questionnaire completed 2 months after surgery expressed as mean �� SD and number (%). 4. Discussion Robotically assisted surgery offers advantages over laparoscopy in hysterectomy procedures for benign disease. The princeps series of Payne and Dauterive [7] showed beneficial results regarding uterine weight, operative time in the 25 last procedures (series of 100 cases), blood loss, laparoconversions, and hospital stay duration.

This author confirmed such results in a meta-analysis [8]. The rate of vaginal cuff dehiscence has been probably overestimated in the first series [9]; it appears to be 1.5% like that observed with laparoscopy [10]. We had no cases of dehiscence in our series: only one case of pelvic abscess that resolved after antibiotherapy. A comparative study of RH and laparoscopic-assisted VH showed that the robotic procedure reduces the operative time and duration of hospital stay with less blood loss [11]. Very few studies have compared RH and VH [12�C15]. Matthews et al. carried out a retrospective analysis of the various surgical approaches used in their department during the first year after robotic equipment was introduced in this unit [12]. They observed beneficial results associated with the robot regarding blood loss, transfusion rate, and infection rate.

In another retrospective series, Landeen et al. [15] compared all surgical approaches for hysterectomy; they underline less blood loss with the robot and reduced hospital stay, while VH was associated with a shortened operative time and reduced cost of the procedure. The two other comparisons were reported in congress abstracts [13, 14]. We found no Anacetrapib randomized study or prospective study on this comparison. Our results are in accordance with those reported in the literature regarding blood loss and duration of hospital stay.