[Evaluation of the development of laparoscopically-assisted vaginal hysterectomy in the Czech Republic over the last 10 years based on the data of the National Registry of Gynecology Laparoscopy Complications].

OBJECTIVE

To survey the performance of laparoscopically assisted vaginal hysterectomy (LAVH) and other gynecologic laparoscopic operations performed in the Czech Republic. This series covers a period of 10 years, in which 23889 LAVH was performed.

DESIGN

Retrospective study (Canadian Task Force classification II-3).

METHODS

Two questionnaires were sent each year to more then one hundred of clinics performing laparoscopic gynecologic operations.

RESULTS

In 2005, 52% of clinics responded with a total of 4062 LAVH operations. The most frequently reported indication for LAVH in 2005 were uterus myomatosus (58%), uterine bleeding (18%) and adnexectomy (9%). The overall complication rate in 2005 during LAVH was 6.,9% (n = 280), the rate of complications requiring laparotomy was 3.9% (n = 161). Increased experience with LAVH over last 10 years has had two consequences: a significant drop in the number of complications (14.7% in 1996 and 6.9% in 2005) and a drop in the mean time of duration of an operation (101 minutes in 1996 and 82 minutes in 2005).

CONCLUSION

LAVH is replacing abdominal hysterectomy, which means significantly less discomfort and shorter hospital stay for patients.