[Laparoscopically assisted vaginal hysterectomy Gasless. Retrospective study in patients with uterine fibroids].
OBJECTIVE
To evaluate the feasibility to perform laparoscopically assisted vaginal hysterectomy in patients who were not suitable for vaginal hysterectomy.


METHODS
LAVH Gasless was carried out on 31 patients with uterine fibroids. Uterine weight ranged of 420-800 gr.


RESULTS
There were 2 laparotomy conversion (6%) for uterus 800 gr; median operating time was 79 +/- 18 minutes (range 75-89); the average haemoglobin drop was 1.7 +/- 0.9 g/dl; the mean in postoperative stay was 3.7 +/- 0.7 days (range 3-5). Febrile morbidity > 38 degrees C were found in 3 cases.


CONCLUSIONS
Laparoscopic assistance has advantages in performing transection of round and infundibolo-pelvic ligaments in vaginal steps and in controlling post-operative blood loss.
Imperato
F
F
Università degli Studi di Roma La Sapienza, II Facoltà di Medicina e Chirurgia, Scuola di Specializzazione in Ginecologia ed Ostetricia, Roma, Italia.
Basili
R
R
Iuele
T
T
Ebano
V
V
Fruscella
M L
ML
Mossa
B
B
D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors; D014594:Uterine Neoplasms / Q000601:surgery*; D020535:Video-Assisted Surgery