A review of the technique and complications from 2,012 cases of Laparoscopically Assisted Vaginal Hysterectomy at a single institution
- Authors
- Song, T[Song, Taejong]; Kim, TJ[Kim, Tae-Joong]; Kang, H[Kang, Heeseok]; Lee, YY[Lee, Yoo-Young]; Choi, CH[Choi, Chel Hun]; Lee, JW[Lee, Jeong-Won]; Kim, BG[Kim, Byoung-Gie]; Bae, DS[Bae, Duk-Soo]
- Issue Date
- Jun-2011
- Keywords
- complication; hysterectomy; laparoscopically assisted vaginal hysterectomy; laparoscopy
- Citation
- AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, v.51, no.3, pp.239 - 243
- Indexed
- SCIE
SCOPUS
- Journal Title
- AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
- Volume
- 51
- Number
- 3
- Start Page
- 239
- End Page
- 243
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/69918
- DOI
- 10.1111/j.1479-828X.2011.01296.x
- ISSN
- 0004-8666
- Abstract
- Aims: To present our experience of modified laparoscopically assisted vaginal hysterectomy (LAVH) and to evaluate the surgical outcomes and complications. Methods: Women with benign gynaecologic tumours that underwent a modified LAVH at the Samsung Medical Centre were analysed retrospectively. The technique is primarily a vaginal hysterectomy with a minor component of the laparoscopic procedures (stage 2 laparoscopic hysterectomy (LH)) and had two modifications (vaginal anterior colpotomy and McCall culdoplasty) from the standard technique. Results: A total of 2012 LAVH procedures were performed from January 2000 to May 2008. The mean duration of the operations and the uterine weight were 102 +/- 32 min and 305 +/- 168 g, respectively. In 196 (9.7%) cases, the uterine weight was more than 500 g. Conversion to laparotomy was needed in 97 cases. Major intraoperative complications occurred in 45 cases (2.2%): bladder injury, 26 (1.29%); bowel injury, nine (0.45%); haemorrhage of major vessels, nine (0.45%); and ureteral injury, one (0.05%). Major long-term complications occurred in three cases: one fistula and two trocar site herniations. Conclusions: Stage 2 LH combined with modified vaginal anterior colpotomy and modified McCall culdoplasty is safe and effective for benign gynaecologic tumours and the prevention of post-LAVH vaginal prolapse.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - Medicine > Department of Medicine > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/69918)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.