[Advantages of laparoscopically-assisted vaginal hysterectomy in comparison with the traditional approach]

The authors are discussing the advantages of the laparoscopically assisted vaginal hysterectomy over the traditional vaginal method, comparing two groups of patients operated in both techniques. In 30 patients from the first group the traditional vaginal hysterectomy have been performed as part of the operation needed in order to change their sex. 20 patients from the second group have been operated, due to different indications, by laparoscopically assisted vaginal hysterectomy. Comparing the indications, the operation itself and the results in postoperative treatment the authors concluded that, for the laparoscopically assisted vaginal hysterectomy the indications are more numerous, practically there are no contraindications, the operation itself is easier, because all abdominal organs are visible on the screen. As for the results after the operation, they are almost identical in both groups. The only advantage of the traditional method is that, sometimes, the operation itself does not last long. The greatest benefit of laparoscopic assisted vaginal hysterectomy is the potential to convert what would have been an abdominal hysterectomy into a vaginal hysterectomy. The authors unanimously concluded that only experienced surgeons can perform both operations.