Laparoscopic Assisted Doderlin Vaginal Hysterectomy

Laparoscopic Assisted Doderlin Vaginal Hysterectomy vs. Laparoscopic Assisted Vaginal Hysterectomy: A Randomized Clinical Trial.

This prospective randomized clinical trial will be conducted in Ain Shams University Maternity Hospital during the period from May 2017 to December 2017. Group Ι: 30 patients will undergo conventional laparoscopic assisted vaginal hysterectomy (LAVH). Group ΙΙ: 30 patients will undergo laparoscopic assisted Doderlein vaginal hysterectomy (LADH)

Inclusion Criteria:

• Age > 40 years.
• Uterine size ≤ 14weeks.
• Benign uterine pathology (Fibroid uterus, endometrial hyperplasia, DUB, uterine prolapse).
• No contraindication for laparoscopic surgery.

Exclusion Criteria:

• Gynecologic malignancy.
• Contraindications to laparoscopy like any medical condition worsened by pneumoperitoneum or the Trendelenburg position.
• Large abdominal hernia
• Large ovarian mass
• History of previous laparotomy finding extensive adhesions