laparoscopically-assisted vaginal hysterectomy (lavh) was performed in fifteen patients without invasive cancer. indications for hysterectomy were myomas, abnormal uterine bleeding unresponsive to hormonal treatment and dilatation and curettage, chronic pelvic pain with first degree uterine prolapse and possible adenomyosis, and dysplasia and ovarian cyst in postmenopausal years. no significant...

Laparoscopically-assisted vaginal hysterectomy (LAVH) was performed in fifteen patients without invasive cancer. Indications for hysterectomy were myomas, abnormal uterine bleeding unresponsive to hormonal treatment and dilatation and curettage, chronic pelvic pain with first degree uterine prolapse and possible adenomyosis, and dysplasia and ovarian cyst in postmenopausal years. No signif...

INTRODUCTION Uterine leiomyomas are the most common benign tumors of the female reproductive system. Although the majority of myomas are asymptomatic, some patients have symptoms or signs of varying degrees and require a hysterectomy. THE AIM OF THE STUDY The aim of the study was to compare the clinical results of two minimally invasive hysterectomy techniques: vaginal hysterectomy (VH) and l...

BACKGROUND Laparoscopically assisted vaginal hysterectomy has been promoted as a substitute for both abdominal and vaginal hysterectomy, with claimed benefits of lower costs, shorter hospital stays, and quicker postoperative recovery. METHODS Using computerized hospital-discharge data for 1988-1994 from 180 hospitals in Ohio, we analyzed rates of abdominal, vaginal, and laparoscopically assis...

Hysterectomy is one of the most commonly performed gynecologic surgeries, mainly for uterine myomas, abnormal uterine bleeding, and prolapses. It can be performed through several routes, each of which has its advantages and disadvantages. We conducted this systematic review to evaluate recent advances in surgical outcomes of benign total hysterectomies by any route: vaginal (VH), laparoscopic (...

OBJECTIVE We compared operative time, length of hospital stay, postoperative recovery, return to work, and costs for women undergoing laparoscopically assisted vaginal hysterectomy or abdominal hysterectomy. STUDY DESIGN A prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy (n = 24) versus abdominal hysterectomy (n = 24) was carried out in a tertiary care s...

Background. The purpose of this study was to compare peri-operative morbidity, preoperative sonographic estimation of uterine weight and postoperative outcomes of women with uterine fibroids larger than 6cm in diameter or uteri estimated to weigh at least 450g, undergoing either vaginal, laparoscopically assisted vaginal or abdominal hysterectomies. Method. Ninety patients who met the criteria ...

BACKGROUND Laparoscopically assisted vaginal hysterectomy is one of the most frequently performed gynecologic operations, and numerous authors have demonstrated its safety and feasibility. CASE PRESENTATION We practiced in some selected cases simultaneous laparoscopically assisted vaginal total hysterectomy with bilateral adnexectomy and laparoscopic cholecystectomy using 5 trocars without ut...

OBJECTIVES To compare the surgical and immediate postoperative outcomes for vaginal hysterectomy (VH) with those for laparoscopically assisted vaginal hysterectomy (LAVH) in patients with enlarged myomatous uterus. METHODS Eighty women requiring hysterectomy for an enlarged myomatous uterus were randomly allocated into 2 treatment arms: VH (n=40) and LAVH (n=40). The randomization procedure w...

BACKGROUND Many hysterectomies are now performed by a laparoscopically assisted vaginal technique. This procedure is controversial, partly because of concern about cost. We studied hospital charges and costs for the procedure as compared with those for total abdominal hysterectomy and total vaginal hysterectomy in clinically similar groups of patients. METHODS From hospital-discharge data and...