Laparoscopic assisted transvaginal hysterectomy
La, D.; Zheng, M.; Shen, L.
Zhonghua Fu Chan Ke Za Zhi 33(6): 342-344
1998
ISSN/ISBN: 0529-567X PMID: 10806671 Document Number: 492931
To evaluate the indication, technical procedure and the clinical value of laparoscopic assisted trans vaginal hysterectomy (LAVH). Ninety-eight patients suffered from various kinds of benign gynecological diseases underwent LAVH from Feb. 1995 to Feb. 1997. The mean age was 52 years (range 38-66), preoperative examination findings were 38 cases of normal uterine size, 60 of uterine enlargement (44 less than 12 week gestational size and 16 larger). Among these patients, 29 cases had a history of lower abdominal laparotomy. 2 out of the 98 cases were switched to laparotomy (2.0%). Mean operation time of LAVH was 106 min (range 60-240 min). The amount of blood loss was approximately 50-150 ml during operation, and the average hospitalization was 6 days. Laparoscopic assisted vaginal hysterectomy expands the indication of transvaginal hysterectomy, and avoids laparotomy and lessens injuries, shortens the hospitalization. It is a promising approach of hysterectomy and should be used widely.