[Laparoscopy-assisted vaginal hysterectomy: initial experiences with an extrafascial technique]

Abstract

This is a report on 4 cases of vaginal hysterectomy assisted by laparoscopy. The indications were dysfunctional hemorrhages, uterus myomatosus as well as 1 case of cervical intraepithelial neoplasia. Postoperatively, no complications were observed. It can therefore be concluded that with laparoscopic assistance the technical spectrum of hysterectomy can be enlarged. The disadvantage, if one can refer to it as such, implies the necessity of the gynecologist being a well-trained laparoscopist.