ABSTRACT
Objective To explore the advantages, the operative key points and the clinical value of preliminary separation of bladder in laparoscope-assisted vaginal hysterectomy. Methods 126 patients wiht benign uterus lesions in the research group underwent preliminary sepation of bladder before receiving modified hysterectomy through peritoneoscope, and 128 randomly selected patients with benign uterus lesions underwent routine hysterectomy through peritoneoscope served as control. Results Successful treatment was got in the patients of both groups. There were significant differences in operative time, intraoperative hemorrhage, postoperative pain intensity, subcutaneous emphysema and postoperative disease incidence between the two groups(P0 05). Conclusion Preliminary separation of bladder in laparoscopic-assisted vaginal hysterectomy could effectively simplify operative procedures, shorten operative time, reduce intraoperative hemorrhage and the postoperative disease incidence, and had many advantages such as reducing difficulty in operation, improving surgical efficacy, increasing curative rates, and shortening hospitalization time and expense.