Scarless hysterectomy and minimally invasive gynecologic operations in Nopparat Rajathani Hospital : initial experience

Abstract

Objective: To show that scarless hysterectomy is the best way of hysterectomy in theselected benign gynecologic patients who have not too big uterus, no severeadhesion or endometriosis. It has advantages of lower morbidity, faster recovery,lower cost and good cosmetic results.

Materials and Methods: A case series study was carried out in Nopparat Rajathani Hospital between April 2009 and April 2010 in 20 women without uterine prolapse who requestedhysterectomy for various benign diseases of the uterus. Scarless hysterectomieswere done by the technique adapted from Purohit Ram Krishna and MasaakiAndou. Successful operation, intra and post operative morbidity, post operativepain, re-admission and cosmetic result were observed.

Results: Scarless hysterectomy was succeeded in all 20 cases and bilateral salpingooophorectomyin 5 indicated cases. No intra-or post-operative morbidity, nore-admission, less postoperative pain, low cost and good cosmetic result wereobserved.

Conclusion: Scarless hysterectomy is a good alternative way for hysterectomy in the selectedcases of benign diseases of the uterus. It needs some surgical skills but givesless morbidity, less pain, less cost and good cosmetic result.

Key words: Scarless hysterectomy, Natural orifice hysterectomy, Vaginal hysterectomy, nonprolapseduterus, Minimally invasive gynecologic operations (MIGO)