Laparoscopic hysterectomy: a series of 100 cases

OBJECTIVE: To introduce a new method of hysterectomy using the laparoscope and endoscopic stapling equipment. DESIGN: A prospective study of a series of patients. SETTING: Specialist private practice at two private hospitals. PATIENTS: Patients were accepted for laparoscopic hysterectomy except when clinical or ultrasound examination indicated that conventional vaginal or abdominal hysterectomy would be more appropriate or less hazardous. RESULTS: The procedure took longer than conventional surgery but was followed by an accelerated recovery, both in terms of inpatient stay and a short convalescence. CONCLUSIONS: Laparoscopic hysterectomy is an alternative to conventional hysterectomy with apparent advantages. Patient recovery is generally faster. With increasing experience, complications of the procedure are reduced to levels that are comparable with those of conventional surgical hysterectomy.