Laparoscopically assisted vaginal hysterectomy in southeast Nigeria--case report.

Background: We present the first laparoscopically assisted vaginal hysterectomy (LAVH) performed in our centre and indeed in southeast Nigeria.

Methodology: The case records of a 60 year old post menopausal woman; Para 6(+2) with moderate cystocele, treated at the Nnamdi Azikiwe University Teaching Hospital in July 2007 was retrieved for presentation.

Result: A 60 year old post menopausal woman, Para 6(+2) with moderate cystocele, no descent of the cervix and narrowed vagina. LAVH and anterior colporraphy was performed. She had an uneventful post operative stay and was discharged home. She has not experienced any complication one year after the procedure.

Conclusion: LAVH is our first major gynaecological laparoscopy surgery and we consider it an important breakthrough worthy of reporting.