A case control study of the operative time, blood loss, time for return to work, pain levels, and medications was conducted comparing laparoscopic-assisted vaginal hysterectomies (LAVH) with total abdominal hysterectomy (TAH). The average operating time for LAVH was 151 minutes whereas for TAH it was 99 minutes (P<.01). The average length of stay for the LAVH was 2.5 days and for the abdominal ...

BACKGROUND AND OBJECTIVES Our aim was to evaluate whether the use of barbed suture for vaginal cuff closure is associated with a decrease in postoperative vaginal bleeding compared with cuff closure with polyglactin 910 in patients who have undergone laparoscopic hysterectomy. METHODS We performed a cohort study of patients who underwent laparoscopic hysterectomy between January 2008 and July...

Laparoscopic hysterectomy is a substitute for abdominal hysterectomy and not for vaginal hysterectomy. Most hysterectomies currently performed with an abdominal approach may be performed with laparoscopic dissection of part or all of the abdominal portion followed by vaginal removal, including fibroids of 1000 g. There are many surgical advantages, particularly magnification of anatomy and path...

Vaginal evisceration following hysterectomy occurs predominately in postmenopausal patients. Laparotomic repair is most common. This case of a 17-year-old patient with postcoital vaginal evisceration represents the first reported laparoscopic repair in a premenopausal patient with intact pelvic organs.

Surgical therapy remains the mainstay for the treatment of endometriosis. In this case report, we review the surgical management of a patient who presented with a cecal implant of endometriosis. She was successfully treated with combined laparoscopic hysterectomy and ileocecal resection. The laparoscopic ileocecal resection was completed with an intracorporeal anastomosis and retrieval of the s...

Seventy percent of hysterectomies in the United States are performed as total abdominal hysterectomies (TAH). Laparoscopic assisted vaginal hysterectomy (LAVH) has been promoted by some to be a low morbidity substitute for TAH. In this study, we compared the outcomes of 61 recent LAVH cases to 65 TAH cases performed during an earlier time interval. Data were abstracted from the charts of 65 TAH...