[Results from laparoscopically assisted vaginal hysterectomy in the Ikazia Hospital, Rotterdam, 1993-1997].
OBJECTIVE
Evaluation of experience with laparoscopy-assisted vaginal hysterectomy (LAVH).


METHODS
Retrospective review.


METHODS
Dept. of Gynaecology, Ikazia Hospital, Rotterdam, the Netherlands.


METHODS
Of 84 patients undergoing a LAVH instead of an abdominal hysterectomy in the period 1993-1997, data on indications for surgery, hospital stay and complications were analysed from the medical records.


RESULTS
Mean age was 45 years (range: 30-62). The most frequent indication was hypermenorrhoea (75; 89%). The mean duration of the operation was 87 min (range: 45-130). There was one conversion to laparotomy. Three times a major complication was seen: twice a bladder injury and once a major haemorrhage for which laparotomy was performed. Mean hospital stay was 6 days, in accordance with protocol.


CONCLUSIONS
LAVH offers a safe technique to convert some of the abdominal hysterectomies into vaginal ones. The higher costs of disposable equipment and increased operation time must be overcome by a shorter time in hospital and shorter convalescence time.
Prinsen
A K
AK
Ikazia Ziekenhuis, afd. Gynaecologie, Rotterdam.
Vierhout
M E
ME
D000328:Adult; D005069:Evaluation Studies as Topic; 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; D018231:Leiomyomatosis / Q000601:surgery*; D007902:Length of Stay; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D009426:Netherlands; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome
Resultaten van laparoscopisch geassisteerde vaginale hysterectomie in het Ikazia Ziekenhuis te Rotterdam, 1993-1997.