Laparoscopic hysterectomy: Challenges and limitations1

@article{Mettler2005LaparoscopicHC,
  title={Laparoscopic hysterectomy: Challenges and limitations1},
  author={Liselotte Mettler and N. Ahmed-Ebbiary and Thoralf Schollmeyer},
  journal={Minimally Invasive Therapy \& Allied Technologies},
  year={2005},
  volume={14},
  pages={145 - 159}
}
Twenty years after the first description of vaginal hysterectomy with laparoscopic assistance by Kurt Semm in 1984 (1), and 16 years after the publication of the so‐called laparoscopically assisted vaginal hysterectomy (LAVH) by Harry Reich in 1989 (2), it is time to review and evaluate the real benefits of laparoscopic hysterectomy. Although laparoscopic surgery is well accepted by gynaecologists worldwide for the treatment of certain gynaecological conditions, laparoscopic hysterectomy in… Expand
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TLDR
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  • Medicine
  • Journal of minimally invasive gynecology
  • 2010
TLDR
The objectives of the present article are to review the development of the operation from a historical perspective, and to attempt to answer some of the dilemmas posed when choosing between a total and subtotal procedure, using results from evidence-based research when possible. Expand
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TLDR
A standardized safe minimal invasive technique of laparoscopic subtotal hysterectomy developed at the Clinic for Minimal Invasive Surgery in Berlin, Germany is demonstrated. Expand
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TLDR
LESS-TLH was associated with less postoperative pain and lessPostoperative vaginal discharge, whereas LESS-LAVH may be preferred in patients with a uterus with a large lower uterine segment, and both are both safe, feasible procedures with similar surgical outcomes. Expand
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Total laparoscopic hysterectomy is a feasible and safe procedure with complications rate similar to that reported in literature, and it in an option for candidates to abdominal hysteretomy. Expand
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