Laparoscopically assisted vaginal hysterectomy

Fernandez, H.; Lelaidier, C.; Frydman, René; Bloomfield, T. H.

doi:10.1016/0140-6736(92)91029-8

Cited by 6 publications

(1 citation statement)

References 4 publications

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“…The second type uses cautery and/or clips to include the uterine vessels. The third type uses clips up to and including the uterosacral ligaments, completing the hysterectomy through the vaginal incision (Magos et al 1991b, Minelli et al 1991a, Scrimgeour et al 1991, Fernandez et al 1992, McDonald 1992).…”

Section: Description Of New Procedures For Treatment Of Menorrhagia Amentioning

confidence: 99%

Evaluation of surgical options in menorrhagia

Lalonde

1994

BJOG

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Total abdominal and vaginal hysterectomy has been the standard treatment for intractable and unmanageable menorrhagia for many years. However, in the last few years, hysteroscopic treatment of menorrhagia through surgical resection and/or ablation of the endometrial cavity has gained success. Over 625000 hysterectomies are performed each year in the USA alone. More than 30 % are done for menorrhagia as a primary diagnosis. Three times more hysterectomies are performed using the abdominal route than the vaginal approach. Morbidity is higher using the abdominal route alone. Complications of abdominal and vaginal hysterectomies will be briefly discussed. Menorrhagia caused by submucous fibroids can be treated hysteroscopically. A review of methods, complications, advantages and long‐term follow up will be presented. Laparoscopically‐assisted vaginal hysterectomy (LAVH) is the latest surgical option offered for menorrhagia. The advent of a hysteroscopic approach to the treatment of menorrhagia and careful analysis of the advantages and disadvantages of LAVH will be discussed.

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