Laparoscopic Hysterectomy
نویسنده
چکیده
The first hysterectomy was performed by Charles Clay in November 1843. It was performed due to a large myomatosus uterus. The operation was successful, however, the patient died on the fifteenth postoperative day. The first patient who survived a hysterectomy was in 1853 and it was performed by Walter Burnham. Out of his subsequent 15 patients, three patients did not survive. These early hysterectomies were all subtotal hysterectomies. The complete abdominal hysterectomy was recommended in 1929 by Richardson to the prevention of the cervical cancer. Supracervical hysterectomies were preferred for prevention of peritoneal contamination with vaginal bacterial flora and for prevention of peritonitis. However, in the 1950's, when penicillin and other antibiotics became available, Dr. Richardson’s technique of total abdominal hysterectomy started to become popular. Since the first in 1989 from Reich described laparoscopic hysterectomy (LH) the laparoscopic assisted vaginal hysterectomy had spread first in the medical centres (LAVH). In 1991 Kurt Semm was first who reported about first laparoscopic subtotal hysterectomy. He called his version "CASH" (Classic Abdominal Semm Hysterectomy) and combined the Morcellement of the uterus with the coring out of the cervix. The Semm hysterectomy never became popular due to technical difficulties.
منابع مشابه
Cost Analysis When Open Surgeons Perform Minimally Invasive Hysterectomy
BACKGROUND AND OBJECTIVE The costs to perform a hysterectomy are widely variable. Our objective was to determine hysterectomy costs by route and whether traditionally open surgeons lower costs when performing laparoscopy versus robotics. METHODS Hysterectomy costs including subcategories were collected from 2011 to 2013. Costs were skewed, so 2 statistical transformations were performed. Cost...
متن کاملThe eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy.
OBJECTIVE To compare the effects of laparoscopic hysterectomy and abdominal hysterectomy in the abdominal trial, and laparoscopic hysterectomy and vaginal hysterectomy in the vaginal trial. DESIGN Two parallel, multicentre, randomised trials. SETTING 28 UK centres and two South African centres. PARTICIPANTS 1380 women were recruited; 1346 had surgery; 937 were followed up at one year. Pri...
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INTRODUCTION Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight. MATERIALS AND METHODS An intent-to-treat study. RESULTS From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing >1000 g. Four patients had total abdomi...
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Complications of Laparoscopic Hysterectomy: Avoid the Risks
Results of more than 1500 laparoscopic hysterectomies have been reported since 1989. The complication rate is 10 to 11% in expert hands. However, a complication rate of 60% was reported in one community hospital series. The risks of laparoscopic hysterectomy are acceptable at 10% but not at 60%. Practitioners of laparoscopic assisted vaginal hysterectomy must review and understand the risks ass...
متن کاملComparison of laparoscopic-assisted vaginal hysterectomy with traditional hysterectomy for cost-effectiveness to employers.
OBJECTIVE The purpose of this study was to compare the cost-effectiveness of laparoscopic-assisted vaginal hysterectomy to traditional total abdominal hysterectomy and total vaginal hysterectomy with regard not only to direct hospital costs but also to indirect costs. STUDY DESIGN This was a combined retrospective cohort study (Canadian Task Force classification II-2) that was conducted in a ...
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