Surgical routes and complications of hysterectomy for benign disorders: a prospective observational study in French university hospitals

Abstract

This study confirms that the vaginal route is increasingly used for hysterectomy in France and that it is the route of choice for benign disorders.

Comparison of total abdominal, vaginal and total laparoscopic hysterectomy

“…Especially in patients with small uterus and advanced age, vaginal hysterectomy is a preferred choice for hysterectomy. 5,6 Laparoscopic surgeries have evolved over the past 20 years ever since 1984, when Kurt Semm introduced laparoscopic assistance to complicated vaginal hysterectomy. 7 The total laparoscopic hysterectomy has been described as potentially quicker, more efficient, and associated with less blood loss than either vaginal or abdominal surgeries and is also more achievable in nulliparous and obese women.…”

Single port laparoscopic hysterectomy: Feasibility and safety

“…The proportion of laparoscopic hysterectomies has been increasing as compared with hysterectomies performed through a laparotomy [7]. Recently, even more, a single port approach for malignant disease is upcoming and discussed all on the boil [3][4][5].…”

Implementing an Advanced Laparoscopic Procedure by Monitoring with a Visiting Surgeon

“…Major complication rates ranging from 1.2% to 11.1% have been reported in studies of LH [7,8,10,17,18]. Wattiez et al [10] noted that major complications occurred in 39 of 695 LH procedures (5.6%) performed by a surgeon in the first 6 years compared with 12 in 953 LH procedures (1.3%) in the 3 years thereafter.…”

“…In several studies, conversions were also scored as major complications [7,18]. We decided not to score conversion as a major complication because the decision to convert and not to proceed laparoscopically can also be made for safety reasons for the patient or to prevent a complication.…”