Feasibility of modified laparoscopic assisted vaginal hysterectomy for decreasing urinary tract complications

Objective: To analyze the differences in the incidence of postoperative complications in the bladder and urinary system between patients who received modified laparoscopic-assisted vaginal hysterectomy (LAVH) and those who received classical LAVH to reduce bladder and urinary system complications. Method: Patients who underwent LAVH for uterine disease at Inje University Haeundae Paik Hospital between March 2010 and June 2015 were included in this retrospective study. The incidence of postoperative urinary complications was compared between patients who received modified LAVH and those who received classical LAVH group. Result: Among a total of 463 patients, there was no significant difference in the incidence of bladder complications between the classical LAVH group and modified LAVH group (9/234 vs. 4/229, P = 0.172). However, the incidence of intraoperative bladder injury was significantly different between the two groups (7/234 vs. 1/229, P = 0.035). Conclusion: The incidence of intraoperative bladder injuries was significantly reduced in the patients who received modified LAVH. Correspondence to: Yong-Il Ji, Department of Obstetrics and Gynecology, Inje University Haeunade Paik Hospital, Busan, South Korea, Tel: 051-797-2020; Fax: 051-797-2030; E-mail: [email protected]