The most common route of hysterectomy was TLH (50.4%), followed by TAH (30.4%), LAVH
(16.4%), and TVH (2.8%).
In the present study, we tried to ascertain whether the results obtained with MLH can be compared to LAVH
in terms of feasibility, intraoperative variables (like duration of surgery and amount of blood loss), and complications.
There are limitations to our study, the sample size is not so large, so we cannot observe those factors in just one type of operation, for example, in LAVH
. The different operation type may have influence on the result.
Retrospective data were collected on 31 patients following LAVH
over a 3-month period.
Yet for every hysterectomy type, residents planned to perform universal cystoscopy postresidency more often than they had during their training (49% TLH, 34% LAVH
, 34% VH, 15% TAH, 12% SCH), and "residents familiar with the literature on cystoscopy were statistically more likely to plan to perform universal cystoscopy," said Dr.
The tissue biopsies were obtained from the same area in the USL (1 cm from the cervix) from each woman during the vaginal hysterectomy or LAVH
. Biopsy specimens were transported to the laboratory in liquid nitrogen and stored at −80[degrees]C until analysis.
The previous surgeries done were open abdominal hysterectomy in two cases and LAVH
in seven cases.
In addition fewer febrile episodes or unspecified infection and shorter operation time were noticed in LAVH
procedures compared with TLH procedures.
The rationale behind laparoscopically assisted vaginal hysterectomy (LAVH
) is not to replace VH but to convert an abdominal hysterectomy into a laparoscopic vaginal procedure and thereby to reduce trauma and morbidity.
The future place of LH will be determined by the increased familiarity and skill of surgeons with vaginal procedure, stimulated by doing the difficult part of LAVH
. Hence in normal uncomplicated uterus LAVH
or even VH has no disadvantages and remain an excellent option.
Shelton, "Laparoscopically assisted vaginal hysterectomy (LAVH
)--an alternative to total abdominal hysterectomy," South African Medical Journal, vol.
A solution comprised of dexamethasone, bupivacaine (generic form), and gentamicin (DMG) is being utilized intraoperatively by some gynecologists in Charleston, West Virginia for Laparoscopic Assisted Vaginal Hysterectomy (LAVH