Skip to main content
Log in

Endoskopische Hysterektomie

LAVH, LASH, TLH und NOTE-AVH

Endoscopic hysterectomy

LAVH, LASH, TLH and NOTE-AVH

  • Leitthema
  • Published:
Der Gynäkologe Aims and scope

Zusammenfassung

Die laparoskopische Hysterektomie ist ein etabliertes Verfahren. Schonender für die Patientinnen ist jedoch die vaginale Hysterektomie. In Fällen, in denen eine vaginale Hysterektomie erschwert ist, kann die Endoskopie die vaginale Entfernung des Uterus ermöglichen. Somit kann durch die Endoskopie eine abdominale Hysterektomie vermieden werden. Es hat sich gezeigt, dass die Morbidität nach laparoskopischer und vaginaler Operation gleichwertig ist. Beschrieben werden die verschiedenen Formen der laparoskopischen Hysterektomie.

Abstract

Laparoscopic hysterectomy is a globally accepted operation procedure but the best option for the patient is still the vaginal approach. In cases in which vaginal hysterectomy is difficult laparoscopy can be used to facilitate a vaginal removal route of the uterus hereby avoiding an abdominal hysterectomy. It has been shown that the laparoscopic and the vaginal approaches are equivalent with respect to morbidity. The different modalities of the laparoscopic hysterectomy are described in this article.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Tozzi R, Malur S, Koehler C, Schneider A (2005) Analysis of morbidity in patients with endometrial cancer: is there a commitment to offer laparoscopy? Gynecol Oncol 97: 4–9

    Article  PubMed  Google Scholar 

  2. Stanton EM (1950) Supracervical hysterectomy for fibroids: a study of late end results. N Y State J Med 50: 2826–2828

    PubMed  CAS  Google Scholar 

  3. Lyons TL (1997) Laparoscopic supracervical hysterectomy. Baillieres Clin Obstet Gynaecol 11: 167–179

    Article  PubMed  CAS  Google Scholar 

  4. Learman LA, Summitt RL Jr, Varner RE et al. (2003) A randomized comparison of total or supracervical hysterectomy: surgical complications and clinical outcomes. Obstet Gynecol 102: 453–462

    Article  PubMed  Google Scholar 

  5. Thakar R, Ayers S, Clarkson P et al. (2002) Outcomes after total versus subtotal abdominal hysterectomy. N Engl J Med 347: 1318–1325

    Article  PubMed  Google Scholar 

  6. Kuppermann M, Summitt RL Jr, Varner RE et al. (2005) Sexual functioning after total compared with supracervical hysterectomy: a randomized trial. Obstet Gynecol 105: 1309–1318

    PubMed  Google Scholar 

  7. Lethaby A, Ivanova V, Johnson NP (2006) Total versus subtotal hysterectomy for benign gynaecological conditions. Cochrane Database Syst Rev 2: CD004993

    PubMed  Google Scholar 

  8. Manyonda I, Thakar RB, Ayers S (2004) Randomised controlled trial of total compared with subtotal hysterectomy with one-year follow up results. BJOG 111: 760–761

    PubMed  Google Scholar 

  9. Thakar R, Ayers S, Georgakapolou A et al. (2004) Hysterectomy improves quality of life and decreases psychiatric symptoms: a prospective and randomised comparison of total versus subtotal hysterectomy. BJOG 111: 1115–1120

    Article  PubMed  Google Scholar 

  10. Zobbe V, Gimbel H, Andersen BM et al. (2004) Sexuality after total vs. subtotal hysterectomy. Acta Obstet Gynecol Scand 83: 191–196

    Article  PubMed  Google Scholar 

  11. Collinet P, Belot F, Debodinance P et al. (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 17: 315–320

    Article  PubMed  Google Scholar 

  12. Winer WK, Lyons TL (1995) Suggested set-up and layout of instruments and equipment for advanced operative laparoscopy. J Am Assoc Gynecol Laparosc 2: 231–234

    Article  PubMed  CAS  Google Scholar 

  13. Schindlbeck C, Klauser K, Dian D, Janni W, Friese K (2008) Comparison of total laparoscopic, vaginal and abdominal hysterectomy. Arch Gynecol Obstet 277(4): 331–337

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Dian.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dian, D., Rack, B., Schindlbeck, C. et al. Endoskopische Hysterektomie. Gynäkologe 41, 343–348 (2008). https://doi.org/10.1007/s00129-008-2134-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00129-008-2134-8

Schlüsselwörter

Keywords

Navigation