Summary
Thirty-three patients were selected for laparoscopic hysterectomy and operated on in the Department of Obstetrics, Gynecology and Reproductive Medicine of Clermont-Ferrand University Hospital. Surgical techniques included blunt dissection with scissors and bipolar coagulation to achieve hemostasis. A case was considered successful when all the uterine vessels were treated by laparoscopy. Twenty-four cases were completed laparoscopically (72.7%). None of these patients had postoperative bleeding; 22 had an uneventful postoperative recovery. Nine procedures were converted to laparotomy (27.3%), five because of a difficult or unsatisfactory hemostasis. We conclude that in selected cases, a total hysterectomy can be performed safely by experienced laparoscopists. Further technological progress is necessary to make this procedure more acceptable. Its value as compared to the others will have to be demonstrated.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Backmann GA (1990) Hysterectomy: a critical review. J Reprod Med 35: 839–862
Benedet JL, Turko M, Boyes DA, Nickerson KG, Bienkwska BT (1980) Radical hysterectomy in the treatment of cervical cancer. Am J Obstet Gynecol 137: 254–262
Canis M, Mage G, Manhes H, Pouly JL, Wattiez A, Bruhat MA (1989) Laparoscopic treatment of endometriosis. Acta Obstet Gynecol Scand Suppl 150: 15–20
Canis M, Mage G, Wattiez A, Pouly JL, Manhes H, Bruhat MA (1990) La chirurgie endoscopique a t elle une place dans la chirurgie radicale du cancer du col uterin. J Gynecol Obstet Biol Reprod (letter) 19: 921
Derman SG, Rehnstrom J, Neuwirth RS (1991) The long term effectiveness of hysteroscopic treatment of menorrhagia and leiomyomas. Obstet Gynecol 77: 591–594
Dicker RC, Greenspan JR, Strauss LT, et al (1982) Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The collaborative review of sterilization. Am J Obstet Gynecol 144: 841–848
Dicker RC, Scally MJ, Greenspan JR, et al (1982) Hysterectomy among women of reproductive age. Trends in the United States 1970–1978. JAMA 248: 323–327
Goldrath MH, Fuller TA, Segal S (1981) Laser vaporization of the endometrium for the treatment of menorrhagia. Am J Obstet Gynecol 140: 14–19
Jasczak SE, Evans TN (1982) Intrafascial abdominal and vaginal hysterectomy: a reappraisal. Obstet Gynecol 59: 435–444
Kovacs SR, Cruikshanks H, Rettoh F (1990) Laparoscopy assisted vaginal hysterectomy. J Gynecol Surg 6: 185–193
Larson DM, Malone JM, Copeland LJ, Gershenson DM, Kline RC, Stringer CA (1987) Ureteral assessment after radical hysterectomy. Obstet Gynecol 69: 612–616
Mage G, Canis M, Manhes H, Pouly JL, Wattiez A, Bruhat MA (1990) Laparoscopic management of adnexal cysts. J Gynecol Surg 6: 71–79
Mage G, Canis M, Wattiez A, Pouly MA, Bruhat MA (1990) Hysterectomie et Coelioscopie. J Gynecol Obstet Biol Reprod 19: 569–573
Nezhat C, Crowgey S, Nexhat F (1990) Videolaseroscopy for the treatment of endometriosis associated with infertility. Fertil Steril 51: 237–240
Nezhat C, Nezhat F, Silfen SL (1990) Laparoscopic hysterectomy and bilateral salpingo-oophorectomy using multifire GIA surgical stapler. J Gynecol Surg 6: 287–288
Parker WH, Berk JS (1990) Management of selected cystic adnexal masses in postmenopausal women by operative laparoscopy. Am J Obstet Gynecol 163: 1574–1577
Pouly JL, Manhes H, Mage G, Canis M, Bruhat MA (1986) Conservative laparoscopic treatment of 321 ectopic pregnancies. Fertil Steril 46: 1093–1097
Querleu D, Leblanc E, Castelain B (1991) Laparoscopic lymphadenectomy in the staging of early carcinoma of the cervix. Am J Obstet Gynecol 164: 579–581
Reich H (1987) Laparoscopic oophorectomy and salpingo-oophorectomy in the treatment of benign tubo-ovarian disease. Int J Fertil 32: 233–236
Reich H, De Caprio J, Mc Glynn F (1989) Laparoscopic hysterectomy. J Gynecol Surg 5: 213–216
Reich H (1991) Pelvic sidewall dissection. Clin Obstet Gynecol 34: 412–422
Reiner IJ (1988) Early discharge after vaginal hysterectomy. Obstet Gynecol 71: 416–418
Webb MJ, Symmonds RE (1979) Wertheim hysterectomy: a reappraisal. Obstet Gynecol 54: 140–145
Wingo PA, Huezo CM, Rubin GL, Ory HW, Peterson HB (1985) The mortality risk associated with hysterectomy. Am J Obstet Gynecol 152: 803–808
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Canis, M., Mage, G., Chapron, C. et al. Laparoscopic hysterectomy. Surg Endosc 7, 42–45 (1993). https://doi.org/10.1007/BF00591236
Issue Date:
DOI: https://doi.org/10.1007/BF00591236