Laparoscopic assistance at vaginal hysterectomy: a literature review.
38 literature reports of laparoscopic assistance in a total of 2,275 vaginal hysterectomies were reviewed. Operation times varied from 28 to 430 minutes. The mean conversion rate to laparotomy was 3.1%. The main reasons encountered were poor access (1.9%), heavy bleeding (0.7%) and organ injury (0.3%). Post-operative complications necessitating a secondary procedure occurred in 1.6% including hernia at trocar site (0.4%), urinary tract or intestinal lesions (0.5%) and delayed hemorrhage (0.6%).
Rempen
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Universitäts-Frauenklinik Würzburg, Germany.
D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000295:instrumentation*; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D020706:Laparoscopes; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation