The Efficacy of Routine Hysteroscopy before Laparoscopic Assisted Vaginal Hysterectomy.

Kim, San; Jung, Hyuk

Original Article

Korean Journal of Obstetrics & Gynecology 2003;46(6):1129-1134.
Published online June 1, 2003.

The Efficacy of Routine Hysteroscopy before Laparoscopic Assisted Vaginal Hysterectomy.

San Kim, Hyuk Jung

Department of Obstetrics and Gynecology, College of Medicine, Chosun University, Gwangju, Korea.

Abstract

OBJECTIVE
Recent advances in laparoscopic surgery have allowed to substitute Laparoscopic Assisted Vaginal Hysterectomy for classical abdominal hysterectomy. The purpose of this study was to evaluate the effectiveness and the value of hysteroscopic procedure which was helpful in taking directed biopsies of malignant suspected areas of endometrium before LAVH. METHODS: We compared hysteroscopic biopsy results with permanent biopsy results after LAVH in 100 patients (group A). In addition, we considered hysteroscopic biopsy results of 60 patients (group B) who had abnormal endometrial findings in vaginal ultrasonography. RESULTS: No endometrial malignant lesion was found between hysteroscopic biopsies and permanent pathologic results after LAVH in the study group A. The malignant hysteroscopic biopsy results of the study group B was about 25%. CONCLUSION: Hysteroscopic procedure for detecting endometrial malignant lesion before LAVH in large uterine tumors could be used. But this study provided that preoperative vaginal sonography was sufficient to evaluate endometrial condition.

Key Words: LAVH, Hysteroscopy, Endometrial malignant lesion