LAPAROSCOPIC-ASSISTED VAGINAL HYSTERECTOMY AND BILATERAL SALPINGO-OOPHORECTOMY WITH SUTURING TECHNIQUE

Since December 1992 we have performed laparoscopic-assisted vaginal hy sterectomy (LAVH) in 50 women using strict, conventional, basic operat ive rules, and compared if with open abdominal hysterectomy with respe ct to operation time, cost, postoperative analgesia requirements, and length of hospital stay. The indications for hysterectomy were uterine myoma in 32 patients, dysfunctional bleeding in 13, and postmenopausa l bleeding in 5. The mean operating time was 118 minutes. The mean blo od loss was 3.2% for preoperative and postoperative hematocrit values. The complication rate was 15%. The advantages oi LAVH include short h ospitalization, early recovery, low blood loss, and minimal postoperat ive discomfort.