The experience of using laparoscopic hysterectomy for the period of 5 years is represented. 594 laparoscopic hysterectomies were performed since 1996 up to 2000. Indications and contraindications to this kind of operation were defined, optimal technique of the surgical intervention was offered. The analysis of complications was carried out, ways of prophylaxis having been elaborated.
To date, more than 30,000 laparoscopic operations have been performed at the clinical bases of the department (31st City Clinical Hospital and TsPSiR). The widespread introduction into clinical practice of laparoscopic interventions for various pathologies of the genitals and the accumulated experience of their implementation made it necessary to revise some approaches and determine the most optimal, scientifically grounded positions when choosing an operative access and methods for performing gynecological operations.
133003 hysteroscopies (including3624 operative ones) and 8401 laparoscopic interventions were performed since 1996 to 2000. On the basis of rich experience the results of treating gynecologic pathology with the method of endoscopy were analyzed and the perspectives of its further development were determined.
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