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
Non-randomised trial OA: closed CC0 ⤵ 1 in-corpus citation
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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 OBJECTIVE: To compare laparoscopic-assisted hysterectomy (LAVH) with conventional abdominal hysterectomy. DESIGN: First 50 consecutive LAVH procedures. SETTING: An outpatient facility at a major medical center (35 procedures) and a nonhospital free-standing surgicenter (15). PATIENTS: Sequential sample of 50 women requiring hysterectomy. INTERVENTIONS: LAVH in 46 women, converted to open laparotomy in 4. MEASUREMENTS AND MAIN RESULTS: Outpatient 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. CONCLUSIONS: LAVH 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 Abdomen Adult Adult Aged Aged Ambulatory Surgical Procedures Ambulatory Surgical Procedures California California Cost-Benefit Analysis Cost-Benefit Analysis Female Female Humans Humans Hysterectomy

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License: CC0 · commercial use OK