[Laparoscopic hysterectomy. Results in 44 cases].
Laparoscopic hysterectomy is a recent procedure. We present our preliminary results about 44 patients. In 77.3% of cases (34 patients) the operation was carried out completely by laparoscopy and 10 patients (22.7%) required conversion of the laparoscopy to a standard laparotomy. The indications for laparotomy were: hemostasis difficulties (6 cases); bladder injury (1 case); inability to expose the uterine pedicles and or the ureter (3 cases). Three post-operative complications occurred: one small bowel occlusion which was explored by laparoscopy, and two infection treated by antibiotics only. These preliminary results enable us: to affirm that laparoscopic hysterectomy is feasibility without an important risk of per and or post-operative complications. to specify the four situations in which laparoscopic surgery is particularly advantageous for hysterectomy: absence of genital prolapse; when uni or bilateral adnexectomy is required; previous past-history of abdomino-pelvic surgery, salpingitis, endometriosis ...; neoplastic pathologies (lymphadenectomy); to propose a laparoscopic hysterectomy classification.
Mage
G
G
Service de Gynécologie-Obstétrique, Médecine de la Reproduction, Polyclinique, CHU de Clermont-Ferrand, Université de Clermont-Ferrand I.
Wattiez
A
A
Chapron
C
C
Canis
M
M
Pouly
J L
JL
Pingeon
J M
JM
Bruhat
M A
MA
D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005602:France / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000145:classification / Q000379:methods*; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects / Q000145:classification / Q000379:methods*; D007813:Laparotomy; D008875:Middle Aged; D010298:Parity; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology