OBJECTIVES To determine the incidence of and risk factors for injury to the lower urinary tract during total laparoscopic hysterectomy. METHODS All patients who underwent total laparoscopic hysterectomy for benign disease from January 1, 2002 to December 31, 2005, at an academic medical center are included. Subjects undergoing laparoscopic-assisted vaginal hysterectomy, supracervical hysterec...

IMPORTANCE Although robotically assisted hysterectomy for benign gynecologic conditions has been reported, little is known about the incorporation of the procedure into practice, its complication profile, or its costs compared with other routes of hysterectomy. OBJECTIVES To analyze the uptake of robotically assisted hysterectomy, to determine the association between use of robotic surgery an...

OBJECTIVE The purpose of this study was to compare operative time and intra- and postoperative complications between total laparoscopic hysterectomy and robotic-assisted total laparoscopic hysterectomy. STUDY DESIGN This study was a blinded, prospective randomized controlled trial conducted at 2 institutions. Subjects consisted of women who planned laparoscopic hysterectomy for benign indicat...

Laparoscopic surgery through a single incision is gaining popularity with different stakeholders. The advantages of improved cosmetics, decreased postoperative pain and blood loss continue to attract patients from different surgical fields. Multidisciplinary approach to different surgical entities through a single incision has just been introduced. We report the first case of a synchronous sing...

OBJECTIVE To evaluate the most appropriate surgical method of hysterectomy (abdominal, vaginal, or laparoscopic) for women with benign disease. DESIGN Systematic review and meta-analysis. DATA SOURCES Cochrane Menstrual Disorders and Subfertility Group Trials Register, Cochrane Central Register of Controlled Trials, Medline, Embase, and Biological Abstracts. SELECTION OF STUDIES Only rand...

Transabdominal sacrocolpopexy has been shown, in multiple long-term studies of its success and durability, to be the definitive treatment option for post-hysterectomy vaginal vault prolapse. It is, however, associated with greater morbidity than vaginal repair. We describe a minimally invasive technique for vaginal vault prolapse repair and present our experience with a minimum of one-year foll...

OBJECTIVE To describe the use of vaginal, abdominal and laparoscopic hysterectomy in Denmark from 1999 to 2008, the influence of national guidelines and the patient and procedure-related characteristics associated with the choice of vaginal hysterectomy. Design. Nationwide register-based cohort study. SETTING Danish Hysterectomy Database and Danish National Patient Registry. POPULATION All ...

Objectives: To compare the outcomes of conventional total laparoscopic hysterectomy with robotic-assisted total laparoscopic hysterectomy in Chinese patients with early-stage endometrial carcinoma and atypical complex hyperplasia. Methods: This retrospective study was performed at the Pamela Youde Nethersole Eastern Hospital from 1 January 2010 to 30 July 2012. The study compared conventional a...