Laparovaginal hysterectomy: A decade of evolution

Abstract

The evolution of laparovaginal hysterectomy from LAVH to TLH over the last 13 years has resulted in improved patient outcomes. Ongoing modification of the technique to ensure ureteric protection must remain a priority.

Randomized comparison of total laparoscopic, laparoscopically assisted vaginal and vaginal hysterectomies for myomatous uteri

“…In the literature, the data on the discharge time after the three methods of hysterectomy are discordant. Some authors found a longer discharge time after lAVH [37], while other studies showed comparable discharge times for the three methods [1,5,10,18]. The different discharge criteria applied in the different studies could justify these discrepancies.…”

A 9-year experience of laparoscopic hysterectomy in a UK district general hospital

“…This compares with another studies with total laparoscopic hysterectomies ranging from 0% to 1% [19][20][21][22][23]. Both cases in our study occurred in cases of pelvic adhesions and with difficult dissection.…”

“…Our incidence was 0.5% in cases of total laparoscopic hysterectomy and occurred prior to 2000. All ureteric traumas were in cases having total laparoscopic hysterectomy and compares with another studies of similar surgery 0.2-1% [19][20][21][22][23]. Both the injuries were in cases of severe endometriosis with adhesions and occurred between 1993 and 1998.…”

Intraoperative Management And Urinary System Complications During Total Laparoscopic Hysterectomy

“…Experience of the surgeon is the other most important factor for the injury occuring. The complications can be prevent as a; surgical exploration, fine dissection and used to appropriate energy madalities (5,15,16) .…”