Laparoscopically Assisted Vaginal Hysterectomy: Analysis of 35 Consecutive Cases

Authors

  • Suat Dede Department of Endoscopic Surgery Ankara Etlik Maternity and Women’s Health Teaching Hospital, Ankara
  • Berna Dilbaz Department of Endoscopic Surgery Ankara Etlik Maternity and Women’s Health Teaching Hospital, Ankara
  • Müberra Koçak Department of Endoscopic Surgery Ankara Etlik Maternity and Women’s Health Teaching Hospital, Ankara
  • Hülya Dede Department of Endoscopic Surgery Ankara Etlik Maternity and Women’s Health Teaching Hospital, Ankara
  • Serdar Dilbaz Department of Endoscopic Surgery Ankara Etlik Maternity and Women’s Health Teaching Hospital, Ankara
  • Ali Haberal Department of Endoscopic Surgery Ankara Etlik Maternity and Women’s Health Teaching Hospital, Ankara

Keywords:

Laparoscopically assisted vaginal hysterectomy, Safety, Uterine and adnexal pathology

Abstract

OBJECTIVE: The aim of this study was to ev aluate indications, effectiv eness and safety of laparoscopically assisted v aginal hysterectomy f or benign adnexal or uterine pathologies.
STUDY DESIGN: We rev iewed the records of 35 consecutive women who underwent laparoscopically assisted v aginal hysterectomy f or benign reasons between January 2002 and December 2004. All the patients were not suitable candidates for abdominal or vaginal hysterectomy either because of concomitant adnexal masses or lack of uterine prolapse. The exclusion criteria included prolapse, uterine or adnexal neoplasm, pelv ic inflammation, vaginal stenosis and any pathology with a uterine size of more than 14 weeks.
RESULTS: Indications for laparoscopically assisted v aginal hysterectomy were leiomyoma uteri (45.7%), intractable uterine bleeding (17.1%), myoma uteri with adnexal masses (14.3%), postmenopausal (8.6%) or bilateral (8.6%) adnexal masses and tamoxifen related endometrial pathology (5.7%). Mean operating time was 149.31 minutes (range 90-210) and the mean postoperative hospital stay was 2.4 days (range 2-10). Only one bladder laceration occurred during the operations which required conv ersion to laparotomy (2.8%).
CONCLUSION: Laparoscopically assisted vaginal hysterectomy was f ound as a f easible and safe approach in the surgical management of a selected group of patients with benign pathologies.

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Published

2006-04-17

How to Cite

1.
Dede S, Dilbaz B, Koçak M, Dede H, Dilbaz S, Haberal A. Laparoscopically Assisted Vaginal Hysterectomy: Analysis of 35 Consecutive Cases. Gynecol Obstet Reprod Med [Internet]. 2006Apr.17 [cited 2022May20];12(1):39-41. Available from: https://gorm.com.tr/index.php/GORM/article/view/559

Issue

Section

Reproductive Medicine: Endocrinology and Infertility

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