caa a22 4500 445311185 CHVBK 20180317142630.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00404-010-1662-3 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1662-3 Laparoscopic-assisted vaginal hysterectomy with and without laparoscopic transsection of the uterine artery: an analysis of 1,255 cases [Elektronische Daten] [Andreas Kavallaris, Ioannis Kalogiannidis, Nektarios Chalvatzas, Amadeus Hornemann, Daniel Beyer, Ivaylo Georgiev, Joerg Herrmann, Oumar Camara, Christopher Altgassen, Klaus Diedrich] Introduction: To evaluate the operative outcomes of patients managed by laparoscopic-assisted vaginal hysterectomy (LAVH) with and without laparoscopic transsection of the uterine artery for benign gynaecologic diseases. Patients and methods: A retrospective analysis of 1,255 women from two different centers undergoing hysterectomy between 1998 and 2009 with benign indications is presented. 856 patients were treated by LAVH type I (vaginal transsection of the uterine artery) and 399 patients by LAVH type II (laparoscopic transsection of the uterine artery). Operative outcomes, intraoperative and postoperative complications, as well as laparoconversion rates were the main objectives of the study. Results: Median operative time was similar between LAVH type I and II (136 vs. 126min, respectively, P=NS). Intraoperative complication rate was not significantly different between the two groups of the study (LAVH type I: 1.5% vs. LAVH type II: 1.26%, respectively, P=NS). The injury of the urinary tract, especially of the bladder, was the most common intraoperative complication for both the groups of the study. Laparoconversion rate was similar in LAVH type I and II (0.5 vs. 0.35%, respectively, P=NS), while postoperative complications were significantly higher in LAVH type I (2.25%) compared to LAVH type II (1.16%), mainly because of postoperative vaginal and intrabdominal haemorrhage in the group of the LAVH type I. Conclusion: LAVH with laparoscopic transsection of the uterine artery is an effective and safe technique with less postoperative complication compared to LAVH with vaginal transsection of the uterine vessels. Springer-Verlag, 2010 LAVH nationallicence Transsection uterine vessels nationallicence Complication rate nationallicence Kavallaris Andreas Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Kalogiannidis Ioannis Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Chalvatzas Nektarios Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Hornemann Amadeus Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Beyer Daniel Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Georgiev Ivaylo Department of Obstetrics and Gynaecology, Friedrich Schiller University, Jena, Germany aut Herrmann Joerg Department of Obstetrics and Gynaecology, Friedrich Schiller University, Jena, Germany aut Camara Oumar Department of Obstetrics and Gynaecology, Friedrich Schiller University, Jena, Germany aut Altgassen Christopher Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Diedrich Klaus Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 379-384 0932-0067 284:2<379 2011 284 404 https://doi.org/10.1007/s00404-010-1662-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1662-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kavallaris Andreas Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Kalogiannidis Ioannis Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Chalvatzas Nektarios Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Hornemann Amadeus Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Beyer Daniel Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Georgiev Ivaylo Department of Obstetrics and Gynaecology, Friedrich Schiller University, Jena, Germany aut NATIONALLICENCE 700 1- Herrmann Joerg Department of Obstetrics and Gynaecology, Friedrich Schiller University, Jena, Germany aut NATIONALLICENCE 700 1- Camara Oumar Department of Obstetrics and Gynaecology, Friedrich Schiller University, Jena, Germany aut NATIONALLICENCE 700 1- Altgassen Christopher Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Diedrich Klaus Department of Obstetrics and Gynaecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Lübeck, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 379-384 0932-0067 284:2<379 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer