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Correspondence
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Volume 336:290-293 January 23, 1997 Number 4
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Alternative Techniques of Hysterectomy

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 by Dorsey, J. H.
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To the Editor: With regard to the articles on alternative techniques of hysterectomy by Dorsey et al. and Weber and Lee and the accompanying editorial by Stovall and Summitt (Aug. 15 issue),1,2,3 the terms "laparoscopic hysterectomy" and "laparoscopically assisted vaginal hysterectomy" require clarification. Laparoscopic hysterectomy entails the complete separation of the uterus from its vascular, vaginal, and connective-tissue attachments, which is accomplished entirely by means of laparoscopic manipulation. Laparoscopically assisted vaginal hysterectomy may be no more than a laparoscopic visualization of the pelvic viscera followed by a standard vaginal hysterectomy. In between these two procedures are those that involve stapling, . . . [Full Text of this Article]

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