[Laparoscopic assisted transvaginal hysterectomy].
OBJECTIVE
To evaluate the indication, technical procedure and the clinical value of laparoscopic assisted trans vaginal hysterectomy (LAVH).


METHODS
Ninety-eight patients suffered from various kinds of benign gynecological diseases underwent LAVH from Feb. 1995 to Feb. 1997. The mean age was 52 years (range 38-66), preoperative examination findings were 38 cases of normal uterine size, 60 of uterine enlargement (44 less than 12 week gestational size and 16 larger). Among these patients, 29 cases had a history of lower abdominal laparotomy.


RESULTS
2 out of the 98 cases were switched to laparotomy (2.0%). Mean operation time of LAVH was 106 min (range 60-240 min). The amount of blood loss was approximately 50-150 ml during operation, and the average hospitalization was 6 days.


CONCLUSIONS
Laparoscopic assisted vaginal hysterectomy expands the indication of transvaginal hysterectomy, and avoids laparotomy and lessens injuries, shortens the hospitalization. It is a promising approach of hysterectomy and should be used widely.
La
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Ruijing Hospital, Shanghai Second Medical University.
Zheng
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M
Shen
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D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*