Safety of Laparoscopically Assisted Vaginal Hysterectomy for Women with Anterior Wall Adherence after Cesarean Section

Safety of total laparoscopic hysterectomy in patients with prior cesarean section

“…Adhesion makes surgery more difficult, requiring longer operation time. 4,5 The increased risks of hysterectomy in patients who have undergone prior CS have been documented. In 741 patients treated with total vaginal hysterectomy (TVH), prior CS increased the perioperative risk.…”

“…Adhesion occurs in 60% of patients with midline incision and in 30% of patients with Pfannenstiel incision. Adhesion makes surgery more difficult, requiring longer operation time …”