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Updated: Jun 16, 2026
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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[Laparoscopic-assisted vaginal hysterectomy after multiple abdominal surgeries--case study]
Andrzej Malinowski1, Monika Wiecka-Płusa, Justyna Mołas
1Klinika Ginekologii Operacyjnej i Endoskopowej ICZMP w Łodzi. amalinowski@kki.pl
Ginekologia Polska
|January 22, 2010
Summary
Laparoscopic-assisted vaginal hysterectomy (LAVH) is a safe and effective alternative to abdominal hysterectomy. Previous abdominal surgeries do not contraindicate LAVH, potentially offering a safer approach than repeat laparotomy.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Laparoscopic-assisted vaginal hysterectomy (LAVH) is a prevalent surgical option, offering advantages over traditional abdominal hysterectomy.
- Key benefits include improved cosmetic outcomes, shorter hospital stays, and reduced complication risks.
Observation:
- This report details a case of a 43-year-old woman with recurrent bilateral ovarian cysts and uterine myoma causing abnormal bleeding.
- The patient had a history of multiple previous abdominal surgeries, complicating surgical planning.
Findings:
- Despite prior abdominal interventions, LAVH was successfully performed.
- The case demonstrates that previous abdominal surgeries are not absolute contraindications for vaginal or laparoscopic hysterectomy.
Implications:
- LAVH and vaginal hysterectomy can be viable and potentially safer alternatives to laparotomy in patients with extensive surgical histories.
- These minimally invasive approaches should be considered in surgical planning for patients with complex abdominal histories.
