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[Laparoscopy-assisted hysterectomy and laparoscopic preparation. Apropos of a series of 177 cases].
Ann Chir. 1998; 52(1):29-35.AC

Abstract

Our objective was to determine the limits of laparoscopic-assisted vaginal hysterectomy (LAVH) and the value of a preoperative scoring system to determine the operative approach to hysterectomy. Between January 1991 and December 1996, 152 out of 177 patients had LAVH and 25 had laparoconversion. The mean operating time was 163 min. The overall postoperative complication rate was 8.4%. The hospital stay was 4.8 days for LAVH versus 6.2 days for laparoconversion (p < 0.01). For each patient, a preoperative scoring system was established according to uterine size, previous laparotomy, uterine mobility, pelvic adhesions and endometriosis stage. The laparoconversion rate increased according to the score, as it was 7.8% for a score < or = 7 and 80% for a score > 7. LAVH offers a technique to convert some abdominal hysterectomies into vaginal hysterectomies. The use of the preoperative scoring system may help to determine patients who may benefit from the laparoscopic route and those with a high risk of laparoconversion.

Authors+Show Affiliations

Daraï E
Service de Gynécologie, CHU Bichat-Claude-Bernard, Paris.
Bernard G
No affiliation info available
Filippini F
No affiliation info available
Fauconnier A
No affiliation info available
Bénifla JL
No affiliation info available
Meneux E
No affiliation info available
Benzakine Y
No affiliation info available
Panel P
No affiliation info available
Madelenat P
No affiliation info available

MeSH

AdultAgedFemaleHumansHysterectomy, VaginalIntraoperative ComplicationsLaparoscopyMiddle AgedOutcome and Process Assessment, Health CareRisk FactorsUterine DiseasesUterine Neoplasms

Pub Type(s)

Journal Article

Language

fre

PubMed ID

9752405

Citation

Daraï, E, et al. "[Laparoscopy-assisted Hysterectomy and Laparoscopic Preparation. Apropos of a Series of 177 Cases]." Annales De Chirurgie, vol. 52, no. 1, 1998, pp. 29-35.
Daraï E, Bernard G, Filippini F, et al. [Laparoscopy-assisted hysterectomy and laparoscopic preparation. Apropos of a series of 177 cases]. Ann Chir. 1998;52(1):29-35.
Daraï, E., Bernard, G., Filippini, F., Fauconnier, A., Bénifla, J. L., Meneux, E., Benzakine, Y., Panel, P., & Madelenat, P. (1998). [Laparoscopy-assisted hysterectomy and laparoscopic preparation. Apropos of a series of 177 cases]. Annales De Chirurgie, 52(1), 29-35.
Daraï E, et al. [Laparoscopy-assisted Hysterectomy and Laparoscopic Preparation. Apropos of a Series of 177 Cases]. Ann Chir. 1998;52(1):29-35. PubMed PMID: 9752405.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Laparoscopy-assisted hysterectomy and laparoscopic preparation. Apropos of a series of 177 cases]. AU - Daraï,E, AU - Bernard,G, AU - Filippini,F, AU - Fauconnier,A, AU - Bénifla,J L, AU - Meneux,E, AU - Benzakine,Y, AU - Panel,P, AU - Madelenat,P, PY - 1998/9/30/pubmed PY - 1998/9/30/medline PY - 1998/9/30/entrez SP - 29 EP - 35 JF - Annales de chirurgie JO - Ann Chir VL - 52 IS - 1 N2 - Our objective was to determine the limits of laparoscopic-assisted vaginal hysterectomy (LAVH) and the value of a preoperative scoring system to determine the operative approach to hysterectomy. Between January 1991 and December 1996, 152 out of 177 patients had LAVH and 25 had laparoconversion. The mean operating time was 163 min. The overall postoperative complication rate was 8.4%. The hospital stay was 4.8 days for LAVH versus 6.2 days for laparoconversion (p < 0.01). For each patient, a preoperative scoring system was established according to uterine size, previous laparotomy, uterine mobility, pelvic adhesions and endometriosis stage. The laparoconversion rate increased according to the score, as it was 7.8% for a score < or = 7 and 80% for a score > 7. LAVH offers a technique to convert some abdominal hysterectomies into vaginal hysterectomies. The use of the preoperative scoring system may help to determine patients who may benefit from the laparoscopic route and those with a high risk of laparoconversion. SN - 0003-3944 UR - https://www.unboundmedicine.com/medline/citation/9752405/[Laparoscopy_assisted_hysterectomy_and_laparoscopic_preparation__Apropos_of_a_series_of_177_cases]_ L2 - https://medlineplus.gov/uterinediseases.html DB - PRIME DP - Unbound Medicine ER -