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Laparoscopically assisted vaginal hysterectomy. A protocol for reducing urinary tract complications
1Institute for Advanced Endoscopic Training, Gynecology and Reproductive Care Center, Annandale, Virginia, USA.
Objective:
To evaluate a protocol that was designed to reduce the incidence of urinary tract complications from laparoscopically assisted vaginal hysterectomy.
Study Design:
The procedure commences with elevation of the bladder and insertion of illuminated ureteral catheters. The laparoscopic portion is then carried out, and the specimen is removed vaginally. The abdominal cavity is then inspected laparoscopically.
Results:
The average hospital stay was 32 hours. Except for one, the patients were able to return to normal activities within two weeks. No complications were noted.
Conclusion:
The early results of this procedure are encouraging. The procedure is easily learned and can be helpful to even the most accomplished surgeons.
