Initial experience with laparoscopic-assisted Doderlein hysterectomy
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Objective:
To assess the outcome of a modified laparoscopic-assisted Doderlein hysterectomy. DEFINE: A prospective clinical study.
Setting:
Women's Endoscopic Laser Foundation, South Cleveland Hospital, Middlesbrough, Cleveland.
Subjects:
Twenty consecutive women with indications for hysterectomy and unsuitable for vaginal approach.
Intervention:
Laparoscopic-assisted Doderlein hysterectomy with modification to make the technique cost effective.
Main Outcome Measures:
Operative time, uterine weight, blood loss, hospital stay, intra-operative complications and post-operative complications.
Results:
The median operative time was 93 minutes, the uterine weight was 168 g, blood loss minimal. The median hospital stay was three days. There were no intra-operative complications and minimal post-operative complications.
Conclusions:
The modified laparoscopic-assisted Doderlein hysterectomy is a safe, rapid procedure which allows the patient to achieve all the benefits of laparoscopic surgery with simple and inexpensive laparoscopic and vaginal techniques.
