Abstract
A total of 114 patients underwent laparoscopic‐assisted vaginal hysterectomy in a 38‐month period from December 1991, to February 1994. In 65 patients, disposable staples were used to achieve pedicle haemostasis and in 49 cases bipolar diathermy was used. No learning curve cases were excluded. Three additional patients were converted to open hysterectomy. No difference in outcome for the two groups was noted. Average operating time was slightly longer when diathermy was used. Average postoperative bed days were 2.8 days for the staple group and 2.7 days for the diathermy group. The cost‐effectiveness of the procedure may be improved when non‐disposable equipment is used for pedicle haemostasis.
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