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Our Three Year Experience with Laparoscopic-Assisted Vaginal Hysterectomy (LAVH)
Garcia-Padial1, Sotolongo, Ferrer
1Mercy Hospital, 800 Mercy Drive, Council Bluffs, IA 51503.
Summary
Laparoscopically Assisted Vaginal Hysterectomy (LAVH) is a common procedure with an average surgery time of 109 minutes and minimal blood loss. This study reviewed 175 LAVH cases, showing a low complication rate.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Laparoscopic hysterectomy, first published in 1989, has gained popularity.
- Laparoscopically Assisted Vaginal Hysterectomy (LAVH) has become increasingly common.
Purpose of the Study:
- To evaluate the outcomes of Laparoscopically Assisted Vaginal Hysterectomy (LAVH).
- To analyze surgical duration, blood loss, and complication rates for LAVH.
Main Methods:
- Retrospective chart review of 175 LAVH procedures performed between October 1990 and September 1993.
- Data collection included length of surgery, blood loss, and patient demographics from anesthesia records.
Main Results:
- Average surgery length was 109 minutes (range: 53-420 minutes).
- Average blood loss was 302 ml.
- Average length of hospital stay was 2.3 days.
- Two major complications occurred: one bladder laceration and one case requiring exploratory laparotomy for hemostasis, with only one patient needing a blood transfusion.
Conclusions:
- LAVH is a viable surgical option with comparable indications to traditional vaginal hysterectomy.
- The procedure demonstrates a favorable safety profile with low complication and blood transfusion rates.