This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Treatments such as the progesterone intrauterine device and endometrial ablation did not become widely available until the last decade. The peritoneum is stretched and dissected, coagulated and cut toward the uterosacral ligaments. The Nurses' Health Study evaluated 16, women who underwent hysterectomy with bilateral oophorectomy and 13, undergoing hysterectomy with ovarian conservation Parker et al. Traction of the left adnexa by the assistant, followed by progressive bipolar coagulation of the infundibulopelvic ligament.
Comparative Analysis of Laparoscopic and Vaginal Hysterectomy- Postoperative Pain
Soriano found significantly increased operating times in the LAVH group, with similar reported blood loss, duration of hospital stay and postoperative analgesic requirements Hysterectomy and socioeconomic position in Rome, Italy. There was no conversion to a laparotomy in our series. Patients with suspected genital malignancy and uterine prolapse were excluded. March 30, Citation: The purpose of the study was to compare the postoperative pain intensity between laparoscopic hysterectomy LH and vaginal hysterectomy VH. Gynecol Obstet Fertil ;
Hysterectomy - NWHN
Despite the advantages of the laparoscopic and vaginal routes compared with laparotomy, this remains the most widely used access route for performing hysterectomy worldwide. The small bowel is retracted in cranial direction until the sacral promontory and pouch of Douglas are clearly visible. Access personal reporting. A comparison of quality outcome measures in patients having a hysterectomy for benign disease: Surgical extraction of the uterine specimen The extraction is performed vaginally in most cases Figure
AH is still the major route for indications other than POP. Delayed postoperative complications more than 24 hours after surgery , return visits to the emergency room and hospital readmissions were recorded. It may be a medically necessary procedure in the case of several life-threatening conditions:. The latter is technically the most difficult laparoscopic technique and is performed entirely by the laparoscope without any vaginal component. A prospective randomized comparison of vaginal hysterectomy, laparoscopically assisted vaginal hysterectomy, and total laparoscopic hysterectomy in women with benign uterine disease.