title: [Laparoscopy-assisted and -prepared hysterectomy. A series of 80 cases].
abstract: OBJECTIVE
  Our objective was to determine the interest of laparoscopic assisted vaginal hysterectomy.
  
  
  METHODS
  Between January 1991 to december 1994, 80 patients had laparoscopically assisted vaginal hysterectomy. We reviewed with particular emphasis characteristic indications, complications.
  
  
  RESULTS
  Eighty were performed as laparoscopically assisted vaginal hysterectomy. 14 patients (17.5%) had laparotomy conversion; because of size of uterus in 3 cases, suspected ovarian tumor in 3 cases. Pelvic adherences in 4 cases, urinary tract injuries in 1 case, hypercapnia in 1 case, hemorrhage in 2 cases. 9 patients experienced febrile morbidity and 1 urinary infection. 1 patient received 2 units of packed red blood cells. The hospital stay was 5 days for laparoscopically assisted vaginal hysterectomy versus 5.9 for laparotomic hysterectomy.
  
  
  CONCLUSIONS
  Laparoscopically assisted vaginal hysterectomy offers a technique to convert certain abdominal hysterectomies into vaginal hysterectomies with a 17.5% laparoconversion rate.
authors.affiliation: Service de Gynécologie-Obstétrique, CHU Bichat-Claude-Bernard, Paris.
authors.forename: E
authors.initials: E
authors.lastname: Darai
authors.forename: F
authors.initials: F
authors.lastname: Filippini
authors.forename: J L
authors.initials: JL
authors.lastname: Benifla
authors.forename: J N
authors.initials: JN
authors.lastname: Guglielmina
authors.forename: G
authors.initials: G
authors.lastname: Pennehouat
authors.forename: B
authors.initials: B
authors.lastname: Deval
authors.forename: P
authors.initials: P
authors.lastname: Madelenat
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D007813:Laparotomy; D007902:Length of Stay; D008875:Middle Aged; D011300:Preoperative Care; D012189:Retrospective Studies; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000175:diagnosis / Q000601:surgery*