Complications of laparoscopic-assisted vaginal hysterectomy, a 1996 survey of the Czech republic.
OBJECTIVE
To survey laparoscopic hysterectomies performed in the Czech Republic.


METHODS
(Canadian Task Force classification II-3). Setting. Czech Republic.


METHODS
One hundred forty-six gynecology departments.


METHODS
The 1995 AAGL survey of laparoscopic-assisted vaginal hysterectomy (LAVH) in the United States was translated into Czech and sent to 146 clinics performing LAVH.


RESULTS
Of the 146 clinics, 34% responded with a total of 733 procedures for analysis. Compared with the United States, complication rates were similar except for two that were more frequent in the Czech Republic: conversion to laparotomy and return to the operating room because of bleeding. These complications should be reduced as more experience is gained.


CONCLUSIONS
It appears that LAVH is replacing abdominal hysterectomy more than vaginal hysterectomy, a trend that should mean less discomfort and shorter hospital stay for patients.
Novotny
Z
Z
Department of Gynecology, Computer Laboratory, Charles University, Faculty of Medicine, Plzen, Czech Republic.
Rojikoval
V
V
D018153:Czech Republic; D003625:Data Collection; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D014481:United States