Our experience of laparoscopic, vaginal and laparoscopic assistance vaginal hysterectomy

Abstract

Introduction. Hysterectomy is the most common surgery performed by the gynecologist. There are many indications for hysterectomy and uterus can be removed using any of a variety techni ques and approaches including abdominal, laparoscopic, vaginal and laparoscopic assistance vaginal.

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Introduction. Hysterectomy is the most common surgery performed by the gynecologist. There are many indications for hysterectomy and uterus can be removed using any of a variety techni ques and approaches including abdominal, laparoscopic, vaginal and laparoscopic assistance vaginal. The modem gynecologic surgeon should have an experience to carry out this surgery by different routes.

In contemporary scientific literature there is no clear place for the various type of hysterectomy. The main aim of paper is to describe our experience of hysterectomy performing by less invasive approaches, to formulate the advantages and disadvantages of each route and to determine the indications for each of them.

Material and methods. We investigated 601 patients’ histories after laparoscopic, vaginal and laparoscopic assistance vaginal hysterectomy. Retrospective analysis included the time of surgery, complications rate, blood loss volume, postoperative time, conversion rate.

Conclusion. There is no “ideal” route for performing of hysterectomy. There is certain indication for each type of hysterectomy based on advantage and disadvantage of each routes, character of pathology, data of history. The most of hysterectomies could be carried out by vaginal approach.