Outpatient laparoscopic-assisted vaginal hysterectomy

Donald I. Galen, Galen DI, D I Galen, A Jacobson, Arnold Jacobson, Jacobson A, L N Weckstein, Louis N. Weckstein, Weckstein LN
The Journal of the American Association of Gynecologic Laparoscopists · 1994 · vol. 1(3) , pp. 241–245 · doi:10.1016/s1074-3804(05)81017-5 · PMID:9050494 · W2002881832
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This paper reports on the outcomes of outpatient laparoscopic-assisted vaginal hysterectomy, a minimally invasive surgical approach for uterus removal.

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Abstract

Study objectiveTo compare laparoscopic-assisted hysterectomy (LAVH) with conventional abdominal hysterectomy.DesignFirst 50 consecutive LAVH procedures.SettingAn outpatient facility at a major medical center (35 procedures) and a nonhospital free-standing surgicenter (15).PatientsSequential sample of 50 women requiring hysterectomy.InterventionsLAVH in 46 women, converted to open laparotomy in 4.Measurements and main resultsOutpatient LAVH was performed successfully in the majority of women. Most patients had significant uterine enlargement, pelvic adhesions, or endometriosis. Only six required replacement of autologous blood postoperatively. Other complications were cystotomy and postoperative pelvic hematoma in one patient each.ConclusionsLAVH can be performed safely in free-standing surgicenters. It offers several advantages to patients, and is considered cost effective by third-party payers.

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MeSH descriptors

Hysterectomy Laparoscopy Abdomen Abdomen Adult Aged Ambulatory Surgical Procedures California Cost-Benefit Analysis Female Humans Hysterectomy Hysterectomy Hysterectomy Laparoscopy Laparoscopy Laparoscopy Middle Aged Reference Values Sampling Studies

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