Initial experience with laparoscopic‐assisted Doderlein hysterectomy

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Abstract
Objective To assess the outcome of a modified laparoscopic‐assisted Doderlein hysterectomy.Define A prospective clinical study.Setting Women's Endoscopic Laser Foundation, South Cleveland Hospital, Middlesbrough, Cleveland.Subjects Twenty consecutive women with indications for hysterectomy and unsuitable for vaginal approach.Intervention Laparoscopic‐assisted Doderlein hysterectomy with modification to make the technique cost effective.Main outcome measures Operative time, uterine weight, blood loss, hospital stay, intra‐operative complications and post‐operative complications.Results The median operative time was 93 minutes, the uterine weight was 168 g, blood loss minimal. The median hospital stay was three days. There were no intra‐operative complications and minimal post‐operative complications.Conclusions The modified laparoscopic‐assisted Doderlein hysterectomy is a safe, rapid procedure which allows the patient to achieve all the benefits of laparoscopic surgery with simple and inexpensive laparoscopic and vaginal techniques.