Clinical Evaluation on 200 Cases of Laparoscopic Assisted Vaginal Hysterectomy ( LAVH )

Shin, Y H; Kim, B S; Shon, Y N; Cho, K H; Lee, K M; Jeong, M N; Seo, D W; Jeong, W G

Abstract

Hysterectomy is one of the most frequently performed gynecologic surgical procedures worldwide. Laparoscopic hysterectomy, introduced by Reich et al. in 1989, has proven to be an effective alternative to abdominal hysterectomy, with advanced technologic development in laparoscopic instruments and improved skill in performing operative laparoscopy.During the period February, 1996 December, 1997, 200 woman underwent laparoscopic assisted vaginal hysterectomy (LAVH) at Yosu Chon-nam Hospital. This report is a retrospective review of 200 laparoscopic assisted vaginal hysterectomy. The mean age was 43.67+/-6.05 years. The mean parity was 3.03+/-1.09. The mean uterine weight was 291+/-187 gm. The mean operation time was 61.5+/-20.2 minutes. The mean hemoglobin change was 1.2+/-0.6 gm/dl. The mean hospital stay was 4.27+/-0.98 days. The common indications were myoma uteri (70.5%), adenomyosis (21%), and carcinoma in situ (4%). The complications were bladder injury (4 cases), rectum injury (1 case), trocar site bleeding (3 cases), and surgical emphysema (2 cases). In conclusion, hysterectomy can be safely performed vaginally assisted by operative laparoscopy.