[Evaluation of the development of laparoscopically-assisted vaginal hysterectomy in the Czech Republic over the last 10 years based on the data of the National Registry of Gynecology Laparoscopy Complications]. / Hodnocení vývoje laparoskopicky asistované vaginální hysterektomie v CR za posledních 10 let na základe dat z Národního registru komplikací gynekologické laparoskopie.

OBJECTIVE: To survey the performance of laparoscopically assisted vaginal hysterectomy (LAVH) and other gynecologic laparoscopic operations performed in the Czech Republic. This series covers a period of 10 years, in which 23889 LAVH was performed. DESIGN: Retrospective study (Canadian Task Force classification II-3). METHODS: Two questionnaires were sent each year to more then one hundred of clinics performing laparoscopic gynecologic operations. RESULTS: In 2005, 52% of clinics responded with a total of 4062 LAVH operations. The most frequently reported indication for LAVH in 2005 were uterus myomatosus (58%), uterine bleeding (18%) and adnexectomy (9%). The overall complication rate in 2005 during LAVH was 6.,9% (n = 280), the rate of complications requiring laparotomy was 3.9% (n = 161). Increased experience with LAVH over last 10 years has had two consequences: a significant drop in the number of complications (14.7% in 1996 and 6.9% in 2005) and a drop in the mean time of duration of an operation (101 minutes in 1996 and 82 minutes in 2005). CONCLUSION: LAVH is replacing abdominal hysterectomy, which means significantly less discomfort and shorter hospital stay for patients.