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Laparoscopically assisted vaginal hysterectomy. Single-surgeon technique with minimal assistance.
J Reprod Med. 1996 Apr; 41(4):231-4.JR

Abstract

OBJECTIVE

To prospectively evaluate parameters of surgical outcome of a novel technique of laparoscopically assisted vaginal hysterectomy performed by a single surgeon with minimal surgical help from an inexperienced assistant.

STUDY DESIGN

Four women who had indications for hysterectomy but relative contraindications to the strictly vaginal approach were consecutively entered into the study. The hysterectomy was accomplished with the Endo GIA 30, O'Connor-O'Sullivan self-retaining vaginal retractor, the ligature vaginal hysterectomy technique and one surgical assistant.

RESULTS

The average operative time was 133 minutes (range, 105-167). Blood loss averaged 288 mL (range, 150-350). The average length of hospitalization was 62 hours (range, 36-72). The average time of convalescence was two weeks (range, one to three).

CONCLUSION

Preliminary results from a series of four patients suggest that this procedure may be a viable and safe alternative for the single surgeon.

Authors+Show Affiliations

Shen-Gunther J
Department of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City 73190, USA.

MeSH

AdultBlood Loss, SurgicalFemaleHumansHysterectomy, VaginalIncidenceLaparoscopyMiddle AgedPainPatient SatisfactionPostoperative ComplicationsProspective StudiesTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

8728073

Citation

Shen-Gunther, J. "Laparoscopically Assisted Vaginal Hysterectomy. Single-surgeon Technique With Minimal Assistance." The Journal of Reproductive Medicine, vol. 41, no. 4, 1996, pp. 231-4.
Shen-Gunther J. Laparoscopically assisted vaginal hysterectomy. Single-surgeon technique with minimal assistance. J Reprod Med. 1996;41(4):231-4.
Shen-Gunther, J. (1996). Laparoscopically assisted vaginal hysterectomy. Single-surgeon technique with minimal assistance. The Journal of Reproductive Medicine, 41(4), 231-4.
Shen-Gunther J. Laparoscopically Assisted Vaginal Hysterectomy. Single-surgeon Technique With Minimal Assistance. J Reprod Med. 1996;41(4):231-4. PubMed PMID: 8728073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopically assisted vaginal hysterectomy. Single-surgeon technique with minimal assistance. A1 - Shen-Gunther,J, PY - 1996/4/1/pubmed PY - 1996/4/1/medline PY - 1996/4/1/entrez SP - 231 EP - 4 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 41 IS - 4 N2 - OBJECTIVE: To prospectively evaluate parameters of surgical outcome of a novel technique of laparoscopically assisted vaginal hysterectomy performed by a single surgeon with minimal surgical help from an inexperienced assistant. STUDY DESIGN: Four women who had indications for hysterectomy but relative contraindications to the strictly vaginal approach were consecutively entered into the study. The hysterectomy was accomplished with the Endo GIA 30, O'Connor-O'Sullivan self-retaining vaginal retractor, the ligature vaginal hysterectomy technique and one surgical assistant. RESULTS: The average operative time was 133 minutes (range, 105-167). Blood loss averaged 288 mL (range, 150-350). The average length of hospitalization was 62 hours (range, 36-72). The average time of convalescence was two weeks (range, one to three). CONCLUSION: Preliminary results from a series of four patients suggest that this procedure may be a viable and safe alternative for the single surgeon. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/8728073/Laparoscopically_assisted_vaginal_hysterectomy__Single_surgeon_technique_with_minimal_assistance_ DB - PRIME DP - Unbound Medicine ER -