Introduction: Laparoscopic sigmoid resection for recurrent or complicated diverticulitis and laparoscopically
assisted hysterectomy for leiomyomas of the uterus are common procedures. A synchronous
combination of these two interventions with the advantage of using the vaginal stump as
a route for removal of the specimen has not previously been described.
Materials and Methods: We used a transvaginal extraction of the uterus and the colorectal segment,
followed by a totally intra-abdominal circular stapler anastomosis. The procedure is performed
via four trocar incisions, obviating the need for a laparotomy.
Results: Two women suffering from diverticulitis and symptomatic uterus myomatomas were
treated by combined laparoscopic sigmoid resection and laparoscopically assisted transvaginal hysterectomy.
Both patients had an uneventful intraoperative course.
Discussion: This new approach, combining two operations, is feasible and leads to almost perfect
cosmetic results, cumulatively shorter hospitalization, and good patient satisfaction. Cooperation
with a gynecologist as well as experience in advanced laparoscopic surgery is essential.
