A Clinical Study on 570 Cases of Laparoscopy Assisted Vaginal Hysterectomy (LAVH)

Objective : To evaluate the clinical outcome and characteristics of laparoscopy assisted vaginal hysterectomy (LAVH) in gynecologic patients. Methods : From September, 2001 to February, 2004, total 570 cases of patients were performed LAVH at Gacheon medical school Ghil Hospital. We reviewed medical records and analyzed these cases about age, parity, weight, previous surgery history, operation indication, operation outcome, duration of hospitalization and complication. Results : The results of this study summarized as follows. The mean age of patients was 46.47.2 years old. Average parity of patients was 2.41.4. Average weight of patients was 63.48.2 kg. Previous operation history was 195 cases (34.2%). Most common operation indication was uterine leiomyoma, followed by adenomyosis, combination of leiomyoma and adenomyosis and endometriosis. The mean operation time was 7220.6 minutes. The mean duration of hospitalization was 4.50.6 days. The major complication of operation was trocar site bleeding, followed by bladder injury, bowel injury, and ureteral injury. Conclusion : LAVH is safe and useful. So it is recommendable to gynecologic patients.