title: A modified LAVH to reduce urinary tract injuries: 102 consecutive case-series at Srinagarind Hospital, Khon Kaen University.
abstract: OBJECTIVE
  To describe the technique and results of modified laparoscopically assisted vaginal hysterectomy (LAVH), especially, on the urinary tract injury.
  
  
  METHODS
  One hundred two patients scheduled for modified LAVH between November 2007 and December 2010 were enrolled.
  
  
  RESULTS
  The majority of patients were middle-aged. The median parity was two; 16 patients were nulliparous. Among the 39 patients who had undergone prior abdominal or pelvic surgeries, eight had a prior cesarean delivery. The majority of LAVH indication was leiomyoma with complications. The median uterine weight was 300 g (range 120 to 1,450 g). The median operating time was 105 min (range 50 to 365 min). One patient had repeated laparoscopic uterine artery electrocoagulation 12 hours after surgery. Two patients were re-admitted with pelvic inflammatory disease (PID) two to three weeks post-operatively. No bowel or urinary tract injuries were detected during intra- and post-operation.
  
  
  CONCLUSIONS
  The modified LAVH presented here was a technique that showed a low incidence of urinary tract injury.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. kovit@kku.ac.th
authors.forename: Kovit
authors.initials: K
authors.lastname: Khampitak
authors.forename: Yuthapong
authors.initials: Y
authors.lastname: Werawatakul
authors.forename: Amornrat
authors.initials: A
authors.lastname: Supokhen
authors.forename: Kanok
authors.initials: K
authors.lastname: Seejorn
mesh_terms: D000328:Adult; D004210:Dissection / Q000379:methods; D004564:Electrocoagulation; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects* / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D001743:Urinary Bladder / Q000293:injuries; D014551:Urinary Tract / Q000293:injuries*; D055988:Uterine Artery / Q000601:surgery