Clinical trial of vaginal hysterectomy supported by laparoscopy.
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We have performed "laparoscopy-guided vaginal hysterectomy" under laparoscopic observation, or "laparoscopy-assisted vaginal hysterectomy" using the automatic stapling device to dissect and divide the utero-ovarian ligaments and the round liganents from July 1992 to April 1993.<BR>The indications for this procedure were leiomyoma in 31 patients, adenomyosis in 7, uterine prolapse in 5, dysplasia in 2, and carcinoma in situ in 1. The mean operating time was 95.9 minutes (range 65-145 minutes), the mean blood loss was 345.2 g (range 120-700 g), and the mean uterine weight was 285.2 g (range 40-540 g).<BR>From this experience, we conclude that laparoscopy-guided or assisted vaginal hysterectomy takes more time, but it makes vaginal hysterectomy safer by improving our understanding the intraperitoneal conditions. [Adv Obstet Gynecol 46 (1); 1-5, 1994 (H6.1)]
- 近畿産科婦人科学会の論文
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