OBJECTIVES To determine the safety, cost effectiveness and effect on quality of life of laparoscopic-assisted vaginal hysterectomy (LAVH) compared with total abdominal hysterectomy (TAH) in the management of benign gynaecological disease. DESIGN Randomised controlled trial and economic evaluation. SETTING Three hospitals in the West of Scotland. PARTICIPANTS Two hundred women scheduled fo...

The first hysterectomy was performed by Charles Clay in November 1843. It was performed due to a large myomatosus uterus. The operation was successful, however, the patient died on the fifteenth postoperative day. The first patient who survived a hysterectomy was in 1853 and it was performed by Walter Burnham. Out of his subsequent 15 patients, three patients did not survive. These early hyster...

OBJECTIVE The scarred or obliterated anterior cul-de-sac may pose a challenge to hysterectomy by any route. Conventional laparoscopic hysterectomy is fraught with technical limitations that limit the ability to compensate for the altered anatomy. This study will evaluate the feasibility of applying robot-assisted laparoscopy to managing these patients. METHODS Six patients with suspected pelv...

Hysterectomy is one of the most commonly performed gynecologic surgeries, mainly for uterine myomas, abnormal uterine bleeding, and prolapses. It can be performed through several routes, each of which has its advantages and disadvantages. We conducted this systematic review to evaluate recent advances in surgical outcomes of benign total hysterectomies by any route: vaginal (VH), laparoscopic (...

OBJECTIVE Our objective was to compare the surgical outcomes of obese women having hysterectomy according to the route (abdominal, vaginal, or laparoscopic) of the procedure. METHODS A chart review of 293 hysterectomy procedures was performed. Data were collected including operative and anesthesia time, estimated blood loss, change in hematocrit, hospital stay, complications, conversion to la...

Background: Laparoskopická hysterektomie je nedávno objevenou operaèní technikou, považovanou za alternativní metodu k abdominální hysterektomii v léèbì benigních a maligních gynekologických onemocnìní. Ve své studii jsme hodnotili zkušenosti s modifikovanou laparoskopicky asistovanou vaginální hysterektomii z pohledu bezpeènosti, dostupnosti a úèinnosti tohoto pøístupu. Metody: Studie zahrnuje...

We reviewed the charts of 36 women who had laparoscopic-assisted vaginal hysterectomies (LAVH) at Belfast City Hospital over a 3 year period. The average operating time was 105 minutes. However, patients had a shorter duration of hospitalization (< 4 days for 96% of patients) with rapid recuperation (3.4 weeks). Complications occurred in 7 patients. One patient developed a vesico-vaginal fistul...

OBJECTIVE We compared operative time, length of hospital stay, postoperative recovery, return to work, and costs for women undergoing laparoscopically assisted vaginal hysterectomy or abdominal hysterectomy. STUDY DESIGN A prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy (n = 24) versus abdominal hysterectomy (n = 24) was carried out in a tertiary care s...