Abstract
We reviewed the charts of 36 women who had laparoscopic-assisted vaginal hysterectomies (LAVH) at Belfast City Hospital over a 3 year period. The average operating time was 105 minutes. However, patients had a shorter duration of hospitalization (< 4 days for 96% of patients) with rapid recuperation (3.4 weeks). Complications occurred in 7 patients. One patient developed a vesico-vaginal fistula which was diagnosed post operatively and successfully repaired 5 months later. Technical difficulty was reported in one patient because of significant adhesions and poor access due to obesity. She went on to develop a pelvic abscess which was drained. Patient satisfaction with the operation was high. LAVH is an effective operation in selected cases and in experienced hands the complication rate is low. In the future it may become a valid alternative to open abdominal hysterectomy.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Liu C. Y. Laparoscopic hysterectomy. A review of 72 cases. J Reprod Med. 1992 Apr;37(4):351–354. [PubMed] [Google Scholar]
- Phipps J. H., John M., Nayak S. Comparison of laparoscopically assisted vaginal hysterectomy and bilateral salpingo-oophorectomy with conventional abdominal hysterectomy and bilateral salpingo-oophorectomy. Br J Obstet Gynaecol. 1993 Jul;100(7):698–700. doi: 10.1111/j.1471-0528.1993.tb14246.x. [DOI] [PubMed] [Google Scholar]
- Querleu D., Leblanc E., Castelain B. Laparoscopic pelvic lymphadenectomy in the staging of early carcinoma of the cervix. Am J Obstet Gynecol. 1991 Feb;164(2):579–581. doi: 10.1016/s0002-9378(11)80025-6. [DOI] [PubMed] [Google Scholar]
- Raju K. S., Auld B. J. A randomised prospective study of laparoscopic vaginal hysterectomy versus abdominal hysterectomy each with bilateral salpingo-oophorectomy. Br J Obstet Gynaecol. 1994 Dec;101(12):1068–1071. doi: 10.1111/j.1471-0528.1994.tb13583.x. [DOI] [PubMed] [Google Scholar]
- Vessey M. P., Villard-Mackintosh L., McPherson K., Coulter A., Yeates D. The epidemiology of hysterectomy: findings in a large cohort study. Br J Obstet Gynaecol. 1992 May;99(5):402–407. doi: 10.1111/j.1471-0528.1992.tb13758.x. [DOI] [PubMed] [Google Scholar]
- Wood C., Maher P., Hill D., Lolatgis N. Laparovaginal hysterectomy. Aust N Z J Obstet Gynaecol. 1994 Feb;34(1):81–84. doi: 10.1111/j.1479-828x.1994.tb01044.x. [DOI] [PubMed] [Google Scholar]