open access

Vol 80, No 11 (2009)
ARTICLES
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Laparoscopic-assisted vaginal hysterectomy after multiple abdominal surgeries – case study

Justyna Mołas, Monika Wiecka-Płusa, Andrzej Malinowski
Ginekol Pol 2009;80(11).

open access

Vol 80, No 11 (2009)
ARTICLES

Abstract

Summary At present the laparoscopic-assisted vaginal hysterectomy (LAVH) is the most widespread and most frequently executed variation of hysterectomy. It is an effective and safe operating alternative for the traditional way – abdominal hysterectomy. Good cosmetic effects, short post-operative stay at hospital and, first of all, a small risk of intra- and postoperative complications are the major driving factors justifying the choice of this method of surgery. In the following article we describe a case of a 43-year-old woman who underwent many interventions in the peritoneal cavity (abdominal surgery) and was shortlisted for the laparoscopic-assisted vaginal hysterectomy. The cause of the operation was recurrent bilateral ovary cystis that could not be treated neither conservatively nor surgically, as well as the uterus myoma leading to abnormal uterus bleeding and hypermenorrhoea. Surgery in patients who have previously undergone abdominal operations is always difficult and the risk of complications is high indeed. In this case, while selecting the method of the next surgical procedure, surgeons must not exclude the vaginal and laparoscopic methods, or use them simultaneously. Experiences of other surgeons, as well as the unique case of a treated patient, show that previous abdominal surgical procedures are not a contraindication for either vaginal or laparoscopic procedures, and in some cases they might be safer than yet another laparotomy.

Abstract

Summary At present the laparoscopic-assisted vaginal hysterectomy (LAVH) is the most widespread and most frequently executed variation of hysterectomy. It is an effective and safe operating alternative for the traditional way – abdominal hysterectomy. Good cosmetic effects, short post-operative stay at hospital and, first of all, a small risk of intra- and postoperative complications are the major driving factors justifying the choice of this method of surgery. In the following article we describe a case of a 43-year-old woman who underwent many interventions in the peritoneal cavity (abdominal surgery) and was shortlisted for the laparoscopic-assisted vaginal hysterectomy. The cause of the operation was recurrent bilateral ovary cystis that could not be treated neither conservatively nor surgically, as well as the uterus myoma leading to abnormal uterus bleeding and hypermenorrhoea. Surgery in patients who have previously undergone abdominal operations is always difficult and the risk of complications is high indeed. In this case, while selecting the method of the next surgical procedure, surgeons must not exclude the vaginal and laparoscopic methods, or use them simultaneously. Experiences of other surgeons, as well as the unique case of a treated patient, show that previous abdominal surgical procedures are not a contraindication for either vaginal or laparoscopic procedures, and in some cases they might be safer than yet another laparotomy.
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Keywords

laparoscopy, hysterectomy, vaginal hysterectomy, LAVH - laparoscopic - assisted vaginal hysterectomy

About this article
Title

Laparoscopic-assisted vaginal hysterectomy after multiple abdominal surgeries – case study

Journal

Ginekologia Polska

Issue

Vol 80, No 11 (2009)

Bibliographic record

Ginekol Pol 2009;80(11).

Keywords

laparoscopy
hysterectomy
vaginal hysterectomy
LAVH - laparoscopic - assisted vaginal hysterectomy

Authors

Justyna Mołas
Monika Wiecka-Płusa
Andrzej Malinowski

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