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Minilaparotomy-assisted vaginal hysterectomy
A A Ahmed1, J Stachurski, E Abdel Aziz
1Obstetrics and Gynecology Department, Queen Elizabeth Hospital, King's Lynn, UK. ahmouda2000@hotmail.com
Minilaparotomy-assisted vaginal hysterectomy is a feasible and safe surgical option. This technique may increase the number of vaginal hysterectomies performed, even in patients with contraindications.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Vaginal hysterectomy is preferred but not always feasible.
- Patients often have contraindications to standard vaginal hysterectomy.
- Alternative approaches are needed to increase vaginal hysterectomy rates.
Purpose of the Study:
- To assess the feasibility and patient acceptability of minilaparotomy-assisted vaginal hysterectomy.
- To evaluate this technique in patients with contraindications to standard vaginal hysterectomy.
Main Methods:
- Prospective pilot study involving 20 patients.
- Hysterectomy initiated vaginally, with minilaparotomy used if needed.
- Intention-to-treat analysis.
Main Results:
- Successful completion in 95% of patients.
- Vaginal completion in 30%, minilaparotomy assistance in 65%.
- High patient satisfaction (9.23/10) with acceptable complication rates (35%).
Conclusions:
- Minilaparotomy-assisted vaginal hysterectomy is feasible and safe.
- This method can potentially increase the rate of vaginal hysterectomies.
- Promising approach for selected patient populations.
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