Analysis of 121 cases of laparoscopic assisted transvaginal hysterectomy
- VernacularTitle:腹腔镜辅助阴式全子宫切除术121例分析
- Author:
Haoliang HUANG
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Transvaginal;
Hysterectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate effects and techniques of laparoscopic assisted transvaginal hysterectomy (LAVH). Methods Laparoscopic assisted transvaginal hysterectomy was carried out in 121 patients with hysteromyoma, cervical intraepithelial neoplasia grade Ⅲ, uterine adenomyoma, ovarian tumor, or atypical hyperplasia of endometrium, which were all indications for uterus resection. Results LAVH was performed successfully in 117 cases, whereas a conversion to open surgery was required in 4 cases because of serious adhesion, the success rate being 96 7% (117/121). The mean operating time was 95 min (range, 58~192 min). The mean amount of intraoperative blood loss was 120 ml (range, 100~250 ml). The postoperative hospital stay was 5~8 days. Conclusions LAVH was associated with mild trauma, slight intestinal disturbance, and quick recovery. Whether or not an operation is successful is related to the size, shape and mobility of the uterus, vaginal space, and operator’s skills and experience.