Experience with laparoscopic assistance in vaginal hysterectomy.
Eur J Obstet Gynecol Reprod Biol
; 65(2): 215-20, 1996 Apr.
Article
em En
| MEDLINE
| ID: mdl-8730627
ABSTRACT
OBJECTIVE:
To determine safety and usefulness of laparoscopy intended to convert an abdominal into a vaginal hysterectomy. STUDYDESIGN:
Forty-seven consecutive hysterectomies are retrospectively analyzed in which laparoscopy was used to accomplish a vaginal instead of an abdominal procedure which would have been performed without endoscopic surgery.RESULTS:
In four patients the operation had to be converted to laparotomy due to difficult access (n = 3) or heavy bleeding (n = 1). Operation time declined during the study period, thus highlighting the importance of experience with laparoscopic technics. Major complications such as injuries of adjacent organs or delayed haemorrhage requiring a second intervention were not encountered.CONCLUSIONS:
Laparoscopy in hysterectomy seems to be a valuable method to avoid laparotomy. In the future, guidelines to determine the route of surgery are to be established which include those conditions in which laparoscopy in addition to vaginal hysterectomy implies a benefit for the patient.
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Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Histerectomia Vaginal
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Observational_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
1996
Tipo de documento:
Article