title: Initial experience with laparoscopic-assisted Doderlein hysterectomy.
abstract: OBJECTIVE
  To assess the outcome of a modified laparoscopic-assisted Doderlein hysterectomy. DEFINE: A prospective clinical study.
  
  
  METHODS
  Women's Endoscopic Laser Foundation, South Cleveland Hospital, Middlesbrough, Cleveland.
  
  
  METHODS
  Twenty consecutive women with indications for hysterectomy and unsuitable for vaginal approach.
  
  
  METHODS
  Laparoscopic-assisted Doderlein hysterectomy with modification to make the technique cost effective.
  
  
  METHODS
  Operative time, uterine weight, blood loss, hospital stay, intra-operative complications and post-operative complications.
  
  
  RESULTS
  The median operative time was 93 minutes, the uterine weight was 168 g, blood loss minimal. The median hospital stay was three days. There were no intra-operative complications and minimal post-operative complications.
  
  
  CONCLUSIONS
  The modified laparoscopic-assisted Doderlein hysterectomy is a safe, rapid procedure which allows the patient to achieve all the benefits of laparoscopic surgery with simple and inexpensive laparoscopic and vaginal techniques.
authors.affiliation: South Cleveland Hospital, Middlesbrough, UK.
authors.forename: R
authors.initials: R
authors.lastname: Garry
authors.forename: P
authors.initials: P
authors.lastname: Hercz
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D007431:Intraoperative Complications; D010535:Laparoscopy; D007902:Length of Stay; D008875:Middle Aged; D009929:Organ Size; D011183:Postoperative Complications; D011446:Prospective Studies; D014599:Uterus / Q000473:pathology