Objective: To evaluate the feasibility and safety of single-port laparoscopic hysterectomy comparing with multi-port laparoscopic hysterectomy in treatment of benign uterine diseases. Methods: Data were collected retrospectively by review of the medical records of 252 patients who underwent multi-port or single-port laparoscopic surgery for treatment of benign gynecologic diseases. Laparoscopy ...

BACKGROUND AND OBJECTIVES To estimate the incidence of operative complications and compare operative cost and overall cost of different methods of benign hysterectomy including abdominal, vaginal, laparoscopic, and robotic techniques. METHODS We performed a retrospective cohort analysis (Canadian Task Force classification II-2) of all patients who underwent a hysterectomy for benign reasons i...

The benefits of surgical treatment of disease have always been viewed as being obtained with a certain acceptable level of pain and trauma to the patient. Minimizing this untoward effect of any surgical procedure has been a driving force of laparoscopy since its inception in the early 1900s.1,2 Even with the clear benefits of laparoscopy over open surgery,3 we have continued to see a trend towa...

STUDY OBJECTIVES To evaluate the incidence, detection, characteristics, and management of urinary tract injury in a cohort undergoing laparoscopic hysterectomy, and to identify potential risk factors for urinary tract injury with laparoscopic hysterectomy. DESIGN Retrospective analysis (Canadian Task Force classification II-2). SETTING Kaiser Permanente San Diego Medical Center, 2001 to 201...

OBJECTIVE Our objective was to compare the clinical outcomes and associated hospital charges between two methods of hysterectomy for patients with early-stage endometrial cancer. METHODS Retrospective chart review of 320 patients with early-stage endometrial cancer treated by laparoscopic-assisted vaginal hysterectomy (LAVH) or total abdominal hysterectomy (TAH) was performed for the period o...

Vaginal cuff dehiscence (VCD) after hysterectomy is an adverse event with potential severe morbidity. Although the data are limited, minimally invasive approaches to hysterectomy, such as total laparoscopic hysterectomy (TLH), may be associated with a higher risk of vaginal cuff dehiscence. The cause for these dehiscences is unknown, and multiple factors may be involved. Internationally, the et...

Endoscopic hysterectomy is increasingly selected as a current trend to minimize invasion, tissue trauma and early recovery. However it has disadvantages of the difficulty to learn and needs expensive equipments. So we developed a new minimally invasive method of vaginal hysterectomy-minilaparotomically assisted vaginal hysterectomy (MAVH) in order to complement the current laparoscopic surgery....

A 48-year old woman presented with chronic back pain. Previous examinations had been inconclusive. Gynaecological examination revealed large cystic masses on the fundus uteri and left adnexa. Laparoscopy and histopathology showed unusually extensive cystic endosalpingiosis covering the serosa-coated uterine surface as well as the adnexa on both sides. After uneventful laparoscopic-assisted vagi...