title: Laparoscopically assisted vaginal hysterectomy in southeast Nigeria--case report.
abstract: BACKGROUND
  We present the first laparoscopically assisted vaginal hysterectomy (LAVH) performed in our centre and indeed in southeast Nigeria.
  
  
  METHODS
  The case records of a 60 year old post menopausal woman; Para 6(+2) with moderate cystocele, treated at the Nnamdi Azikiwe University Teaching Hospital in July 2007 was retrieved for presentation.
  
  
  RESULTS
  A 60 year old post menopausal woman, Para 6(+2) with moderate cystocele, no descent of the cervix and narrowed vagina. LAVH and anterior colporraphy was performed. She had an uneventful post operative stay and was discharged home. She has not experienced any complication one year after the procedure.
  
  
  CONCLUSIONS
  LAVH is our first major gynaecological laparoscopy surgery and we consider it an important breakthrough worthy of reporting.
authors.affiliation: Department of Obstetrics/Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. jikechebelu@yahoo.com
authors.forename: J I
authors.initials: JI
authors.lastname: Ikechebelu
authors.forename: S U
authors.initials: SU
authors.lastname: Mbamara
authors.forename: H A
authors.initials: HA
authors.lastname: Ezike
mesh_terms: D052858:Cystocele / Q000601:surgery*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D007902:Length of Stay; D008875:Middle Aged; D009549:Nigeria; D016896:Treatment Outcome