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Laparoscopic assisted vaginal hysterectomy: one group's experience
J F Daniell1, B R Kurtz, H D Woodford
1Department of Obstetrics and Gynecology, Centennial Medical Center, Nashville, Tennessee, USA.
Journal of Gynecologic Surgery
|March 4, 1995
Summary
Laparoscopic assisted vaginal hysterectomy (LAVH) is a safe and effective procedure. This study shows high patient satisfaction and symptom resolution with minimal complications, offering a viable alternative to abdominal hysterectomy.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Surgical Technology Evaluation
Background:
- Laparoscopic assisted vaginal hysterectomy (LAVH) is an established surgical technique.
- Various energy devices and stapling technology are utilized in LAVH procedures.
Purpose of the Study:
- To report institutional experience with LAVH in 51 patients.
- To compare outcomes based on surgical device utilized (stapling device vs. bipolar coagulation).
Main Methods:
- Retrospective review of 51 LAVH cases.
- Categorization of patients based on primary energy source: laparoscopic stapling device, combination of stapler and bipolar coagulation, or bipolar coagulation exclusively.
- Analysis of operative time, complications, hospital stay, costs, patient satisfaction, and symptom resolution.
Main Results:
- No conversions to laparotomy were required.
- Average operative time was 1 hour and 38 minutes; average hospital stay was 2.2 days.
- Bipolar coagulation exclusively was associated with lower average hospital costs ($7150.00) compared to stapling devices ($7815.00).
- High patient satisfaction (96%) and symptom resolution (94%) were observed across all groups.
Conclusions:
- LAVH is a safe and effective surgical option for selected patients.
- Bipolar coagulation may offer a cost-effective alternative to stapling devices in LAVH.
- LAVH presents a valid alternative to traditional abdominal hysterectomy.