الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Hysterectomy is one of the most commonly Performed major procedures in gynecologic surgery. Laparoscopic hysterectomy can be considered a substitute for abdominal but not for vaginal hysterectomy. The introduction of laparoscopic hysterectomy has met growing interest but even more skepticism. Therefore careful evaluation and surveillance is necessary to address questions about safety, training, technical issues and eventually the indications of the procedure. Our study included 40 patients were assigned into three groups, (20 LAVH, 10 LSH and 10 AH), during the periods from October, 1999 to April 2002 in Gynecology Department, Mansoura University Hospital. The clinical characteristics of the 40 patients were similar as regard age, parity, uterine size and body weight. The indications for hysterectomy among the study groups were nearly similar with dysfunctional uterine bleeding and uterine fibroid were the commonest. We found that the mean operative time of laparoscopic procedures (LAVH, LSH) was significantly longer than that of AH. Estimated blood loss was similar in the study groups. Conversion to laparotomy was needed in 2 cases of LAVH (10%) while it was needed in 4 cases among LSH (40%). Post operative findings revealed the main benefits of laparoscopic procedures with less need for analgesics, IV fluids , earlier ambulation, shorter hospital stay and more rapid resumption to normal daily activities. It is also essential that each gynecologist should properly trained in a structured programs for laparoscopic techniques to minimize the risk of adverse outcomes.