Clinical Analysis of Laparoscopically Assisted Vaginal Hysterectomy in Patients with Uterine Myoma or Severe Endometriosis

Objective:To approach the operative technique in laparoscopically assisted vaginal hysterectomy(LAVH) in patient with severe endometriosis.Methods:Seventeen of endometriosis stage III or IV were assigned to laparoscopically assisted vaginal hysterectomy,meantime,twenty-six women of myoma whose tumor size over 8 gestation weeks underwent LAVH by the same doctor as controls.The operative time,blood volume,operative complication,passage of gas by anus,postoperative morbidity and hospital days after operation were analysis and compared between two groups.Results:Mean operative time was shorter in myoma group(77±19min) than endometriosis group(131±34min)(P0.05).The blood loss in myoma group and endometriosis group were 105±35ml and 125±35ml,respectively(P0.05).There was no operative complication in two groups.Conclusions:It was useful to transvaginally split adherence of Douglas fossa by fingers and instructed by finger inside rectum with laparoscopic assist,which also improve safety and success of LAVH in severe endometriosis.