LAVH after low anterior resection

Abstract

Two patients with a history of low anterior resection of the rectum undergoing laparoscopic-assisted vaginal hysterectomy (LAVH) were reported. The first patient had a low anterior resection with transverse colostomy for carcinoma of the rectum 8 cm from the anal verge in 1999. The colostomy was closed in 2000. LAVH and bilateral salpingo-oophorectomy were performed in 2002 for ovarian cyst. The left upper quadrant was used for entry of the primary port. Adhesiolysis for extensive peritoneal adhesion was performed, but the hysterectomy was uneventful. The second patient had a low anterior resection for carcinoma of the rectum 10 cm from the anal verge in 1997. LAVH was performed in 2003 for adenomyosis of the uterus. The recovery of both patients was uneventful. With attention to preparation and technique, LAVH can be performed safely in patients after anterior resection.