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Indications and Contraindications for Laparoscopic Hysterectomy

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Hysterectomy

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Abstract

Hysterectomy, the “queen” of gynecological surgical procedures, has been described since many years ago. Nowadays, the uterus removal is one of the most common performed surgeries in the gynecological field. The trend goes in a minimally invasive approach, decreasing the morbidity associated with surgical trauma caused by a laparotomic way. Total laparoscopic hysterectomy is associated with less blood loss, fewer transfusions, less post-operative pain, shorter hospital stay, decreased risk of wound infection, better quality of life and lower levels of disability in comparison with classic abdominal hysterectomy.

The benefits of laparoscopy have been more recognized and well accepted by the patients. The surgeons’ way of thinking is moving towards this less invasive technique. The expertise and experience of the surgeons has been developed decreasing the number of contraindications for this less invasive technique.

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References

  1. Garry R et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ. 2004;328(7432):129.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Nezhat F et al. Laparoscopic versus abdominal hysterectomy. J Reprod Med. 1992;37(3):247–50.

    CAS  PubMed  Google Scholar 

  3. Phipps JH, John M, Nayak S. Comparison of laparoscopically assisted vaginal hysterectomy and bilateral salpingo-oophorectomy with conventional abdominal hysterectomy and bilateral salpingo-oophorectomy. Br J Obstet Gynaecol. 1993;100(7):698–700.

    Article  CAS  PubMed  Google Scholar 

  4. Raju KS, Auld BJ. A randomised prospective study of laparoscopic vaginal hysterectomy versus abdominal hysterectomy each with bilateral salpingo-oophorectomy. Br J Obstet Gynaecol. 1994;101(12):1068–71.

    Article  CAS  PubMed  Google Scholar 

  5. Olsson JH, Ellstrom M, Hahlin M. A randomised prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol. 1996;103(4):345–50.

    Article  CAS  PubMed  Google Scholar 

  6. Langebrekke A et al. Abdominal hysterectomy should not be considered as a primary method for uterine removal. A prospective randomised study of 100 patients referred to hysterectomy. Acta Obstet Gynecol Scand. 1996;75(4):404–7.

    Article  CAS  PubMed  Google Scholar 

  7. Marana R et al. Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obstet Gynecol. 1999;180(2 Pt 1):270–5.

    Article  CAS  PubMed  Google Scholar 

  8. Falcone T, Paraiso MF, Mascha E. Prospective randomized clinical trial of laparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy. Am J Obstet Gynecol. 1999;180(4):955–62.

    Article  CAS  PubMed  Google Scholar 

  9. Ferrari MM et al. Identifying the indications for laparoscopically assisted vaginal hysterectomy: a prospective, randomised comparison with abdominal hysterectomy in patients with symptomatic uterine fibroids. BJOG. 2000;107(5):620–5.

    Article  CAS  PubMed  Google Scholar 

  10. Lumsden MA et al. A randomised comparison and economic evaluation of laparoscopic-assisted hysterectomy and abdominal hysterectomy. BJOG. 2000;107(11):1386–91.

    Article  CAS  PubMed  Google Scholar 

  11. Schutz K et al. Prospective randomized comparison of laparoscopic-assisted vaginal hysterectomy (LAVH) with abdominal hysterectomy (AH) for the treatment of the uterus weighing >200 g. Surg Endosc. 2002;16(1):121–5.

    Article  CAS  PubMed  Google Scholar 

  12. Walsh CA et al. Total abdominal hysterectomy versus total laparoscopic hysterectomy for benign disease: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2009;144(1):3–7.

    Article  PubMed  Google Scholar 

  13. Aarts JW et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;12(8):CD003677. doi: 10.1002/14651858.CD003677.pub5.

    Google Scholar 

  14. Wattiez A, Cohen SB, Selvaggi L. Laparoscopic hysterectomy. Curr Opin Obstet Gynecol. 2002;14(4):417–22.

    Article  PubMed  Google Scholar 

  15. Ghezzi F et al. Postoperative pain after laparoscopic and vaginal hysterectomy for benign gynecologic disease: a randomized trial. Am J Obstet Gynecol. 2010;203(2):118 e1–8.

    Article  Google Scholar 

  16. ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2009;114(5):1156–8.

    Google Scholar 

  17. A.A.M.I.G. Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 2011;18(1):1–3.

    Article  Google Scholar 

  18. Walters MD. Choosing a route of hysterectomy for benign disease. Uptodate. 2015.

    Google Scholar 

  19. Shiota M et al. Indication for laparoscopically assisted vaginal hysterectomy. JSLS. 2011;15(3):343–5.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bijen CB et al. Costs and effects of abdominal versus laparoscopic hysterectomy: systematic review of controlled trials. PLoS One. 2009;4(10):e7340.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Reich H. Laparoscopic hysterectomy. Surg Laparosc Endosc. 1992;2(1):85–8.

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Gynecology, Centro Materno-Infantil do Norte/Centro Hospitalar do Porto, Largo da Maternidade Júlio Dinis, Porto, 4050-371, Portugal

    Helder Ferreira

  2. Department of Obstetrics and Gynaecology, Centro Materno-Infantil do Norte/Centro Hospitalar do Porto, Largo da Maternidade Júlio Dinis, Porto, 4050-371, Portugal

    António Braga

Authors
  1. Helder Ferreira
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  2. António Braga
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Correspondence to Helder Ferreira .

Editor information

Editors and Affiliations

  1. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Ibrahim Alkatout

  2. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Liselotte Mettler

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Ferreira, H., Braga, A. (2018). Indications and Contraindications for Laparoscopic Hysterectomy. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_21

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  • DOI: https://doi.org/10.1007/978-3-319-22497-8_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22496-1

  • Online ISBN: 978-3-319-22497-8

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