Advantages of laparoscopic- assisted vaginal hysterectomy over abdominal hysterectomy in patients with fibroids

Abstract

Subject matter. Subject matter was the comparative study of laparoscopic-assisted vaginal hysterectomy (LAVH) and abdominal hysterectomy (AH) in patients with 12-22 weeks pregnancy fibroid.

Full Text

Material and methods. The results of comparative study of laparoscopic-assisted vaginal hysterectomy (134 cases) and abdominal hysterectomy (109 cases) in the patients with a big size fibroid in 2000-2004 yy are presented.

Results. Time of operation was 67 ± 6,3 min (AH), 87,21 ± 5,6 min (LAVH), blood loss was 315 ± 9,6 ml (AH), 250 ± 17,1 ml (LAVH), weight of fibroid was 712 ± 8,2 g (AH) and 704,5 ± 9,25 g (LAVH).

Conclusion. Laparoscopic-assisted vaginal hysterectomy has the following advantages: minimal traumatization, favorable cosmetic effect, shot postoperative and rehabilitation period, absence of complications in the late postoperative period, decrease of the risk of intraoperative complications. The experience accumulated proves the LAVH technique to be reasonable and efficient.