Complications of Laparoscopic Hysterectomy: Avoid the Risks

Results of more than 1500 laparoscopic hysterectomies have been reported since 1989. The complication rate is 10 to 11% in expert hands. However, a complication rate of 60% was reported in one community hospital series. The risks of laparoscopic hysterectomy are acceptable at 10% but not at 60%. Practitioners of laparoscopic assisted vaginal hysterectomy must review and understand the risks associated with the procedure in order to avoid them. This article addresses the complications of laparoscopic hysterectomy and gives techniques to avoid them.

[1]  D. Laurie,et al.  Laparoscopically assisted vaginal hysterectomy , 1996 .

[2]  E. Bieber,et al.  Risk of Anterior Abdominal Wall Adhesions Increases with Number and Type of Previous Laparotomy , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[3]  Levrant,et al.  The Risk of Anterior Abdominal Wall Adhesions in Patients with Previous Umbilical Hernia Repair , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[4]  Shwayder The Learning Curve for Laparoscopically Assisted Vaginal Hysterectomy/Laparoscopic Hysterectomy , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[5]  N. Kadar An operative technique for laparoscopic hysterectomy using a retroperitoneal approach. , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[6]  Sotolongo,et al.  Our Three Year Experience with Laparoscopic-Assisted Vaginal Hysterectomy (LAVH) , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[7]  M. Pelosi,et al.  Laparoscopically assisted hysterectomy for uteri weighing 500 g or more. , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[8]  Topel Gasless Laparoscopic Assisted Hysterectomy with Epidural Anesthesia , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[9]  Bernstein,et al.  Continuing Experience with Laparoscopically Assisted Vaginal Hysterectomy in a Private Teaching Community Hospital , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[10]  D. Galen,et al.  Outpatient laparoscopic-assisted vaginal hysterectomy. , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[11]  J. E. Carter A new technique of fascial closure for laparoscopic incisions. , 1994, Journal of laparoendoscopic surgery.

[12]  H. S. Holley,et al.  Laparoscopically assisted vaginal hysterectomy in a university hospital: Report of 82 cases and comparison with abdominal and vaginal hysterectomy , 1994 .

[13]  J. E. Carter,et al.  Laparoscopic-assisted vaginal hysterectomy: a case control comparative study with total abdominal hysterectomy. , 1994, The Journal of the American Association of Gynecologic Laparoscopists.

[14]  Carter Je,et al.  Laparoscopic-assisted vaginal hysterectomy utilising the contact-tip Nd: YAG laser: a review of 67 cases. , 1994 .

[15]  C. Nezhat,et al.  Laparoscopically-assisted hysterectomy. , 1994, The Western journal of medicine.

[16]  N. Kadar,et al.  Urinary tract injuries during laparoscopically assisted hysterectomy: causes and prevention. , 1994, American journal of obstetrics and gynecology.

[17]  L. R. Donohue,et al.  A hospital review of advanced gynecologic endoscopic procedures. , 1994, American journal of obstetrics and gynecology.

[18]  F. Ling,et al.  Gonadotropin-releasing hormone agonist use before hysterectomy. , 1994, American journal of obstetrics and gynecology.

[19]  R. Soderstrom Bowel injury litigation after laparoscopy. , 1993, The Journal of the American Association of Gynecologic Laparoscopists.

[20]  H. Asakura,et al.  Experience with laparoscopic hysterectomy. , 1993, The Journal of the American Association of Gynecologic Laparoscopists.

[21]  R. Schwartz Complications of laparoscopic hysterectomy , 1993, Obstetrics and gynecology.

[22]  Mb Woodland Ureter injury during laparoscopy‐assisted vaginal hysterectomy with the endoscopic linear stapler , 1993, American journal of obstetrics and gynecology.

[23]  F. Ling,et al.  Randomized Comparison of Laparoscopy- Assisted Vaginal Hysterectomy With Standard Vaginal Hysterectomy in an Outpatient Setting , 1992, Obstetrics and gynecology.

[24]  A. Langebrekke,et al.  Laparoscopic hysterectomy: Initial experience , 1992, Acta obstetricia et gynecologica Scandinavica.

[25]  F. Nezhat,et al.  Laparoscopic versus abdominal hysterectomy. , 1992, The Journal of reproductive medicine.

[26]  P. Layde,et al.  Hysterectomy Among Women of Reproductive Age: Trends in the United States, 1970-1978 , 1982 .