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Related Experiment Videos

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
PubMed
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.

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Early outcomes of laparoscopic-assisted vaginal hysterectomy versus laparoscopic supracervical hysterectomy.

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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.

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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.