Korean J Obstet Gynecol.  2003 Jun;46(6):1129-1134.

The Efficacy of Routine Hysteroscopy before Laparoscopic Assisted Vaginal Hysterectomy

• Kim S
• Jung H

Abstract

OBJECTIVE
Recent advances in laparoscopic surgery have allowed to substitute Laparoscopic Assisted Vaginal Hysterectomy for classical abdominal hysterectomy. The purpose of this study was to evaluate the effectiveness and the value of hysteroscopic procedure which was helpful in taking directed biopsies of malignant suspected areas of endometrium before LAVH.
METHODS
We compared hysteroscopic biopsy results with permanent biopsy results after LAVH in 100 patients (group A). In addition, we considered hysteroscopic biopsy results of 60 patients (group B) who had abnormal endometrial findings in vaginal ultrasonography.
RESULTS
No endometrial malignant lesion was found between hysteroscopic biopsies and permanent pathologic results after LAVH in the study group A. The malignant hysteroscopic biopsy results of the study group B was about 25%.
CONCLUSION
Hysteroscopic procedure for detecting endometrial malignant lesion before LAVH in large uterine tumors could be used. But this study provided that preoperative vaginal sonography was sufficient to evaluate endometrial condition.

Keyword

LAVH; Hysteroscopy; Endometrial malignant lesion

MeSH Terms

Biopsy
Endometrium
Female
Humans
Hysterectomy
Hysterectomy, Vaginal*
Hysteroscopy*
Laparoscopy
Ultrasonography