[Laparoscopic assisted transvaginal hysterectomy].

Area of Science:

• Minimally invasive gynecological surgery
• Surgical techniques in gynecology
• Laparoscopic surgery

Context:

• Benign gynecological diseases often necessitate hysterectomy.
• Traditional hysterectomy methods can involve significant patient morbidity.
• Laparoscopic assisted vaginal hysterectomy (LAVH) offers an alternative approach.

Purpose:

• To evaluate the indications, technical aspects, and clinical utility of LAVH.
• To assess the feasibility and outcomes of LAVH in patients with benign gynecological conditions.

Summary:

• Ninety-eight patients underwent LAVH for benign gynecological diseases.
• The procedure had a low conversion rate to laparotomy (2.0%).
• Mean operative time was 106 minutes, with average blood loss of 50-150 ml and a 6-day hospitalization.

Impact:

• LAVH expands the scope of vaginal hysterectomy.
• It effectively avoids laparotomy, minimizing patient trauma and injury.
• The technique shortens hospitalization, offering a promising and widely applicable hysterectomy method.