Total laparoscopic hysterectomy with laparosonic coagulating shears: a retrospective report of 200 consecutive cases.
Despite 10 years of intensive education and training in Australia only around 14% of hysterectomies are performed with laparoscopic assistance. In particular total laparoscopic hysterectomy (TLH) has a poor penetration rate because of perceived technical difficulties that include instrumentation, prolonged operating times and an increase in complications. We present a series of 200 consecutive cases of TLH with very good results and propose that because of the many advantages that this technique offers that it should become the standard procedure for benign uterine disease.
Cario
G M
GM
Sydney Woman's Endosurgery Centre and Department of Obstetrics and Gynaecology, St George Hospital, Kogarah, New South Wales, Australia.
Carlton
M A
MA
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D004564:Electrocoagulation / Q000295:instrumentation*; D016889:Endometrial Neoplasms / Q000601:surgery; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation* / Q000379:methods; D007431:Intraoperative Complications; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D014592:Uterine Hemorrhage / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery; D002578:Uterine Cervical Dysplasia / Q000601:surgery