Laparoscopic hysterectomy with the Endo GIA 30 stapler

Eighty-two patients underwent laparoscopic hysterectomies from March 1991 to September 1992. The indications were adenomyosis, myomata uteri, intractable menorrhagia and endometriosis with severe pelvic adhesions. The operations were performed through usage of the techniques of videolaparoscopy, including a combination of Kleppinger bipolar forceps for hemostasis and scissors and/or CO2 laser for lysis of adhesions. Fourteen used the Endo GIA 30 stapler in transecting the infundibulopelvic and/or cardinouterosacral ligament. The mean blood loss was 175 mL, and two patients had intraoperative bladder injuries requiring laparotomy repair, but none of them was related to the utilization of the Endo GIA 30 stapler. Most of the patients were discharged on the second postoperative day. The advantages of laparoscopic hysterectomy are short hospitalization, small blood loss and less postoperative discomfort. Implementation of the Endo GIA 30 stapler could facilitate the procedure.