Complications of laparoscopic-assisted vaginal hysterectomy, a 1996 survey of the Czech republic.
STUDY OBJECTIVE: To survey laparoscopic hysterectomies performed in the Czech Republic. DESIGN: (Canadian Task Force classification II-3). Setting. Czech Republic. SUBJECTS: One hundred forty-six gynecology departments. INTERVENTIONS: The 1995 AAGL survey of laparoscopic-assisted vaginal hysterectomy (LAVH) in the United States was translated into Czech and sent to 146 clinics performing LAVH. MEASUREMENTS AND MAIN RESULTS: Of the 146 clinics, 34% responded with a total of 733 procedures for analysis. Compared with the United States, complication rates were similar except for two that were more frequent in the Czech Republic: conversion to laparotomy and return to the operating room because of bleeding. These complications should be reduced as more experience is gained. CONCLUSION: It appears that LAVH is replacing abdominal hysterectomy more than vaginal hysterectomy, a trend that should mean less discomfort and shorter hospital stay for patients.