The aim of this study was to review the safety and efficacy of total laparoscopic hysterectomy and the laparoscopic assisted vaginal hysterectomy in women. Garry and Reich classified modes of hysterectomy into nine types. This study will review relative efficiency and efficacy of type 3 and type 5 of this classification. The parameters used to evaluate literature both in the total laparoscopic hysterectomy and the laparoscopic assisted vaginal hysterectomy include; patient selection criteria, operative time and technique, intraoperative and postoperative complications, time until resumption of diet, postoperative morbidity, hospital stay, cost effectiveness and the quality of life.
Materials and methods
A literature review was performed using Highwire press, Google, and the Springer link search engine. The following terms were used: Laparoscopic assisted vaginal hysterectomy, total laparoscopic hysterectomy, total abdominal hysterectomy, vaginal hysterectomy. Over two hundred and fifty six citations were found. Selected papers were screened for further reference. Criteria for selection of the literature were the number of cases, method of analysis, operative procedure and the institution were the study was done.
A novel technique for Laparoscopic Hysterectomy for routine use. Int J Biomedical Sci. Vol 4 No 1.March 2008.
Hysterectomy rates in the USA in 2000. Obstet Gynecol 2007;110:1109.
Decreasing utilization of abdominal hysterectomy. A population based study. Amj Obstet Gynecol 2007;196:214.
Apropriate use of laparoscopic assisted vaginal hysterectomy. Obstet Gynecol 2005;105:959.
The effects of different types of hysterectomy on urinary and sexual function. A prospective study. Amj Obstet Gynecol 2004;24:420.
The management of menorrhagia in secondary care. The Royal College of Obstetrics and Gynaecology; 2004. National Evidence-Based Clinical Guidelines.
The evaluate study: Two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 2004;328(7432):129-33. Epub 2004 Jan 7.
Length of hospital stay after vaginal hysterectomy. Br J Obstet Gynaecol 1994 Mar;101(3):253-54.
Severe complications of hysterectomy: The value study. Br J Obstet Gynaecol 2004;111(7):688-94.
Hysterectomy rates in the United States 1990-1997. Obstet Gynecol 2002;99(2):229-347.
A randomised comparison and economic evaluation of laparoscopic-assisted hysterectomy and abdominal hysterectomy. Br J Obstet Gynaecol 2000;107(11):1386-91.
Laparoscopic-assisted vaginal hysterectomy: Initial experience. Ulster Med J 1996 Nov;65(2):149-51.
Types of hysterectomy: Comparison of characteristics, hospital costs, utilization and outcomes. JReprod Med Keshavarz H. Hillis SD, Kiele BA, Marchbanks PA. Hysterectomy Surveillance-United States, 1994-1999. MMWR CDC Surveillance Sum 2002;51(SS05):1-8.
