[Laparoscopically assisted vaginal hysterectomy Gasless. Retrospective study in patients with uterine fibroids]
Related Experiment Video
Updated: Sep 20, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
F Imperato1, R Basili, T Iuele
1Università degli Studi di Roma La Sapienza, II Facoltà di Medicina e Chirurgia, Scuola di Specializzazione in Ginecologia ed Ostetricia, Roma, Italia.
Purpose:
To evaluate the feasibility to perform laparoscopically assisted vaginal hysterectomy in patients who were not suitable for vaginal hysterectomy.
Patients And Methods:
LAVH Gasless was carried out on 31 patients with uterine fibroids. Uterine weight ranged of 420-800 gr.
Results:
There were 2 laparotomy conversion (6%) for uterus 800 gr; median operating time was 79 +/- 18 minutes (range 75-89); the average haemoglobin drop was 1.7 +/- 0.9 g/dl; the mean in postoperative stay was 3.7 +/- 0.7 days (range 3-5). Febrile morbidity > 38 degrees C were found in 3 cases.
Conclusions:
Laparoscopic assistance has advantages in performing transection of round and infundibolo-pelvic ligaments in vaginal steps and in controlling post-operative blood loss.
